DR. CAROL FUNDAK COLLINS (NPI# 1932482965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932482965 |
| Entity Type | Individual |
| Full Name | DR. CAROL FUNDAK COLLINS |
| Credential | M.D. |
| Practice Address |
650 Miller Rd Avon Lake OH 44012-2307 |
| Mailing Address |
650 Miller Road Avon Lake OH 44012 |
| Practice Telephone | 4409331099 |
| Practice Fax Number | 4409331040 |
| Mailing Telephone | 4409331099 |
| Mailing Fax Number | 4409331040 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 64677 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1326385113 | Carol Ann Collins | Audiologist | 106 W Center St, Mebane, NC 27302-2432 | 2013-01-14 |
| 1639302581 | Carol Diane Collins | Speech-Language Pathologist | 12941 North Freeway, Suite 401, Houston, TX 77060-1956 | 2009-08-26 |
| 1346257607 | Carol Jean Collins | Counselor | 117 S 9th Ave, Suite 6, Caldwell, ID 83605-3754 | 2006-08-01 |
| 1528604154 | Carol L Collins | Physical Therapist | 7370 W Talcott Ave, Chicago, IL 60631-3751 | 2019-11-19 |
| 1124544705 | Carol Collins | Social Worker | 808 5th Ave, Des Moines, IA 50309-1307 | 2017-08-16 |
| 1023411923 | Carol Collins | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2014-10-06 |
| 1225471212 | Carol J Collins | Marriage & Family Therapist | 400 S Dixie Hwy, Suite 410, Boca Raton, FL 33432-5518 | 2013-04-10 |
| 1720395734 | Carol Jean Collins | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2010-09-13 |
| 1538310412 | Carol Anne Collins | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2008-10-09 |
| Street Address |
650 MILLER RD |
| City | AVON LAKE |
| State | OH |
| Zip Code | 44012-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743352 | Wyatt Demarco Massage Therapy & Wellness Center | Massage Therapist | 690 Avon Belden Rd, 2c, Avon Lake, OH 44012 | 2019-01-04 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1558619676 | Lindsay Stein | Counselor | 156a Lear Rd, Avon Lake, OH 44012 | 2012-08-21 |
| 1023388063 | Jennifer Lynn Dorman | Dietitian, Registered | 167 Belmar Boulevard, Avon Lake, OH 44012 | 2012-01-09 |
| 1033495338 | Jessica Rae Wyatt | Massage Therapist | 690 Avon Belden Rd Ste 2c, Avon Lake, OH 44012 | 2011-10-31 |
| 1841599248 | Robin M Hale | Counselor | 32831 Redwood Blvd, Avon Lake, OH 44012 | 2011-03-24 |
| 1265551766 | Robert Day Monroe | Podiatrist | 32118 Augusta Dr, Avon Lake, OH 44012 | 2007-03-28 |
| 1194822908 | John Secrest Pyke IIi | Dentist | 33399 Walker Rd, Suite D, Avon Lake, OH 44012 | 2006-09-20 |
| 1295842284 | Westshore Primary Care Assoc Inc | Internal Medicine | 32730 Walker Road, Building H, Avon Lake, OH 44012 | 2006-08-24 |
| Find all providers in zip 44012 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295842284 | Westshore Primary Care Assoc Inc | Internal Medicine | 32730 Walker Road, Building H, Avon Lake, OH 44012 | 2006-08-24 |
| 1003881723 | Syed A Ali | Internal Medicine | 450 Avon Belden Rd, Avon Lake, OH 44012 | 2006-02-17 |
| 1225006935 | James Jingbo Wang | Internal Medicine | 450 Avon Belden Rd, Avon Lake, OH 44012-2282 | 2006-03-09 |
| 1821080920 | Vidya Pandit | Internal Medicine | 32730 Walker Rd, Building H, Avon Lake, OH 44012-4100 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151660 | Health Monitoring Solutions | Internal Medicine | 15400 Pearl Rd Ste 230, Strongsville, OH 44136-6001 | 2020-10-12 |
| 1386250975 | Strong Healthcare Solutions LLC | Internal Medicine | 4105 Emmajean Rd, Toledo, OH 43607-1073 | 2020-09-18 |
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1174131312 | Hyr Medical Inc | Internal Medicine | 675 Alpha Dr, Highland Heights, OH 44143-2139 | 2020-07-14 |
| 1447878806 | Sprholdings, LLC | Internal Medicine | 885 Damon Dr, Medina, OH 44256-2009 | 2020-07-10 |
| 1720609217 | Willglowe Health Services, Inc | Internal Medicine | 2201 E Maple St, North Canton, OH 44720-9997 | 2020-05-06 |
| 1316567209 | Maria Veronica De Torres Mirano-de Guzman | Internal Medicine | St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-21 |
| 1386263614 | Gene Thomas Michael | Internal Medicine | 2401 N Columbus St Ste 260, Lancaster, OH 43130-8296 | 2020-04-16 |
| 1184244485 | Imthiaz Mohammed Khan | Internal Medicine | 2405 N Columbus St Ste 260, Lancaster, OH 43130-8100 | 2020-04-16 |
| 1710506670 | Shyam Patel | Internal Medicine | 381 Summit Ave, Steubenville, OH 43952 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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| 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.