NPIMap

Organization Active NPI

Collier Hma Physician Management LLC

  • Vascular Surgery Physician
  • Naples, FL
National Provider Identifier
1003484890
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
COLLIER HMA PHYSICIAN MANAGEMENT LLC
Practice address
8340 Collier Blvd Ste 202
Naples, FL 34114-3589
Phone
(239) 348-4221
Fax
(239) 348-4213
NPI assigned
Jun 16, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kristina Music
Title
Dir Provider Enrollment
Phone
(615) 465-7377

Corporate family (same tax ID) 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

National Provider Directory

National Provider Directory
Tax ID family
Collier Hma Physician Management LLC (37 organizations share this tax ID)

Locations

8340 Collier Blvd
Ste 202
Naples, FL 34114
Phone (239) 348-4583

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

NPPES NPI Registry

Primary practice location

8340 Collier Blvd Ste 202
Naples, FL 34114-3589

Mailing address

8340 Collier Blvd Ste 202
Naples, FL 34114-3589
Phone (615) 465-7211

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
275883127MedicaidFL

Other names 1

NPPES NPI Registry
  • Collier HMA Physician Management LLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2023.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1003484890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD STE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143589",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD STE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143589",
            "telephone_number": "239-348-4221",
            "fax_number": "239-348-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER HMA PHYSICIAN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7377"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275883127",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier HMA Physician Management LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collier HMA Physician Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.