Active NPI
Don U Collier, DO
- Dermatology Physician
- Warren, MI
National Provider Identifier
1003896481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DC005127
- Practice address
- 13450 E 12 Mile Rd
Warren, MI 48088-3671 - Phone
- (586) 759-5525
- Fax
- (586) 759-4765
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DC005127 | MI | Primary |
Addresses
Primary practice location
13450 E 12 Mile Rd
Warren, MI 48088-3671
Mailing address
13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1414370 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005127 | MI | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1003896481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13450 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480883671",
"telephone_number": "586-759-5525",
"fax_number": "586-759-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13450 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480883671",
"telephone_number": "586-759-5525",
"fax_number": "586-759-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "DON",
"middle_name": "U",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "DC005127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1414370",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.