NGA COLLARD (NPI# 1972618106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972618106 |
| Entity Type | Individual |
| Full Name | NGA COLLARD |
| Credential | MD |
| Practice Address |
819 New Glendale Road Elizabethtown KY 42701 |
| Practice Telephone | 5026249002 |
| Mailing Telephone | 5026249002 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 23094 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 6423094900 | 05 | |
| CAQH | 10802821 | 01 |
| Street Address |
819 NEW GLENDALE ROAD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215954037 | Roger Lewis Gelperin | Emergency Medicine | 1382 Hutcherson Ln, Elizabethtown, KY 42701-6999 | 2006-07-16 |
| 1144260431 | Paul H Christensen | Emergency Medicine | 1111 Ring Rd Ste A, Elizabethtown, KY 42701-4900 | 2006-06-07 |
| 1417290081 | Lize-mari Dorfling | Emergency Medicine | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2013-04-02 |
| 1255624706 | Elwell Ferry Inpatient Services | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-05-17 |
| 1720308836 | Berchaun Haldane Nicholls | Emergency Medicine | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2010-06-11 |
| 1194053629 | First Flight Emergency Physicians LLC | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2009-11-20 |
| 1578721866 | Thomas James Henderson | Emergency Medicine | 913 N Dixie Ave, Department of Emergency Medicine, Elizabethtown, KY 42701-2503 | 2008-05-23 |
| 1629260211 | Bladen County Emergency Physicians Pllc | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2007-08-16 |
| 1982762498 | Paula M Roy | Emergency Medicine | 1111 Ring Rd, Carefirst, Elizabethtown, KY 42701-4900 | 2006-12-05 |
| 1144394206 | Peter J Popovich | Emergency Medicine | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2006-11-20 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.