William A Collignon Jr. (NPI# 1174587257, PAC ID# 4385678465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1174587257 |
PAC ID by PECOS | 4385678465 |
Professional Enrollment ID | I20050922000539 |
Full Name | William A Collignon Jr. |
Organization Legal Name | SHOALS SURGICAL GROUP LLC |
Address |
501 E Dr Hicks Blvd Suite A Florence AL 35630-5771 |
Phone Number | 2563830423 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 7113951294 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010019 | HELEN KELLER HOSPITAL |
Address | Phone | Organization |
---|---|---|
501 E Dr Hicks Blvd, Suite A, Florence, AL 35630-5771 | 2563830423 | SHOALS SURGICAL GROUP LLC |
8075 Madison Blvd, Suite 112, Madison, AL 35758-2042 | 2567726018 | SHOALS SURGICAL GROUP LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Organization Legal Name | SHOALS SURGICAL GROUP LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shelby K Bailey | General Practice | Shoals Surgical Group LLC | 501 E Dr Hicks Blvd, Suite A, Florence, AL 35630-5771 |
Street Address |
501 E DR HICKS BLVD SUITE A |
City | FLORENCE |
State | AL |
Zip | 35630-5771 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shelby K Bailey | General Practice | Shoals Surgical Group LLC | 501 E Dr Hicks Blvd, Suite A, Florence, AL 35630-5771 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly D Ocampo | Optometry | Florence Eye Center, Inc. | 506 N Main, Florence, AL 35630 |
Timothy Dale Ashley Jr. | Family Medicine | 727 Cox Creek Pkwy, Florence, AL 35630-1001 | |
Barry Rayford Basden | Optometry | Florence Eye Center, Inc. | 711 Cox Creek Pkwy, Florence, AL 35630-1001 |
Benjamin Kachelman | Optometry | Florence Eye Center, Inc. | 711 Cox Creek Pkwy, Florence, AL 35630-1001 |
Marty Brewer | Optometry | Florence Eye Center, Inc. | 711 Cox Creek Pkwy, Florence, AL 35630-1001 |
Charlene P Brown | Nurse Practitioner | Timothy D Ashley Md PC | 727 Cox Creek Pkwy, Florence, AL 35630-1001 |
Timothy D Ashley | Family Medicine | Timothy D Ashley Md PC | 727 Cox Creek Pkwy, Florence, AL 35630-1001 |
Kathryn E Thigpen | Optometry | Florence Eye Center, Inc. | 711 Cox Creek Pkwy, Florence, AL 35630-1001 |
Christina Parker | Chiropractic | Parker Chiropractic Center, LLC | 889 Cox Creek Pkwy, Florence, AL 35630-1003 |
Derek B Parker | Chiropractic | Parker Chiropractic Center, LLC | 889 Cox Creek Pkwy, Florence, AL 35630-1003 |
Find all physicians in zip 35630 |
City | FLORENCE |
Zip Code | 35630 |
Specialty | GENERAL SURGERY |
City + Specialty | FLORENCE + GENERAL SURGERY |
Please comment or provide details below to improve the information on William A Collignon Jr..
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.