ROGER L COLLINS


Address: 1420 Old Square Rd, Jackson, MS 39211
Phone: 6017131145

ROGER L COLLINS (NPI# 1841312600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841312600
Entity Type Individual
Full Name ROGER L COLLINS
Credential MD
Practice Address 1420 Old Square Rd
Jackson
MS 39211
Practice Telephone 6017131145
Practice Fax Number 6017131106
Mailing Telephone 6017131145
Mailing Fax Number 6017131106
Enumeration Date 2007-04-04
Last Update Date 2010-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine AC 8541636 MS Allopathic & Osteopathic Physicians

Other Providers ROGER COLLINS

NPI Name Taxonomy Address Enumeration
1447476502 Roger C Collins Counselor 2502 Oxford Ave, San Angelo, TX 76904-5435 2007-04-17
1013045756 Roger Barrett Collins Radiology 17104 Hawks Ridge Ln, Edmond, OK 73003-8400 2007-03-02
1851453039 Roger Collins I Respiratory Therapist, Certified 2265 Harrodsburg Rd, Ste 228, Lexington, KY 40504-3500 2006-12-14
1104296755 Roger Neal Collins Pharmacist 2400 Avenue I, Department of Pharmacy, Huntsville, TX 77340 2015-09-25
1245395045 Roger P Collins Optometrist 395 S Main St, Manchester, NH 03102 2006-12-22
1750457834 Roger Ronald Collins Specialist/Technologist 604 S Rio Grande Ave, Aztec, NM 87410-2260 2006-11-28
1215000393 Roger N Collins Emergency Medicine 605 Holderrieth Blvd, Tomball, TX 77375-6445 2006-11-16
1508889684 Roger Lane Collins Physical Therapist 200 Garfield Ave, West Chester, PA 19380-4512 2006-07-26
1710958004 Roger Stewart Collins Plastic Surgery 8300 Health Park, Ste 205, Raleigh, NC 27615-4731 2006-01-27
1073504973 Roger Barrett Collins Orthopaedic Surgery 105 N Greenleaf St, Gurnee, IL 60031-3326 2005-10-31

Office Location

Street Address 1420 OLD SQUARE RD
City JACKSON
State MS
Zip Code 39211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821355801 Lefleur Family Medical Clinic Clinic/Center 1420 Old Square Rd, Jackson, MS 39211-5523 2012-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092878 Bio-medical Applications of Mississippi, Inc. Clinic/Center 5722 I-55 N Frontage Road, Jackson, MS 39211 2020-08-04
1548881048 Gloria Dansby-giles Counselor 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 2020-05-06
1821628223 Alice Powell Taylor St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 2020-01-24
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1316585581 Deborah Magoun Rosenbaum Pharmacist [email protected], 4910 I-55 North, Jackson, MS 39211 2019-12-18
1285108357 Eric Wood Counselor 4623 Maurey Rd, Jackson, MS 39211 2019-01-11
1649758301 Isluv Robertson Registered Nurse 1405 E Northside Dr, Jackson, MS 39211 2018-08-03
1659863066 Jonbrighton Childs Russell Student in an Organized Health Care Education/Training Program 4343 Dalrymple Ct, Jackson, MS 39211 2018-05-31
1225557598 Regina Ann Day Dietitian, Registered 3800 I 55 North Frontage Road, Jackson, MS 39211 2017-09-18
1023558525 Agilitas Usa Inc Clinic/Center 120 District Blvd E, Suite D102, Jackson, MS 39211 2017-03-02
Find all providers in zip 39211

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235754995 Oak Street Health Physicians Group of Mississippi, LLC Family Medicine 911 Ellis Ave, Jackson, MS 39209 2020-06-09
1003470758 Central Mississippi Health Services, Inc Family Medicine 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 2019-04-29
1922515493 Meaghan Schenk Johnson Family Medicine 2969 Curran Dr N # 200, Jackson, MS 39216-4121 2018-01-05
1740795731 Emily Colleen Dunaway Family Medicine 1227 N State St # 101, Jackson, MS 39202-2002 2017-12-12
1679086367 Hope Np House Call Practice Family Medicine 98 Grandview Ave, Jackson, OH 45640-9090 2017-11-16
1427585488 Daniel Matthew Bender Family Medicine 455 W Broadway Ave, Jackson, WY 83001-8639 2017-05-21
1891235289 Logan Hardin Family Medicine 1270 Union University Dr Ste A, Jackson, TN 38305-3856 2017-03-03
1255782843 Seth Tyler Koehler Family Medicine 2600 E Main St, Jackson, MO 63755-2473 2016-06-25
1720495245 Gopi Patel Family Medicine 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 2014-07-16
1154735165 Lk Physicians Services Pllc Family Medicine 36 Lake Pointe Dr, Jackson, TN 38305-8113 2014-06-17
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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