NPIMap

Individual provider Active NPI

Jack L. Collier, MD

  • Clinical Cardiac Electrophysiology Physician
  • Oklahoma City, OK
National Provider Identifier
1043350275
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
24868 Issued in OK
Practice address
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-1240
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 24868 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other identifiers 1

IdentifierTypeStateIssuer
200162400AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcollier@direct.okheart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000430 OK Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274620240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
90.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohh Physicians, LLC CurrentSince Jul 1, 2010 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Oklahoma Heart Hospital, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

Interoperability endpoints

  • Direct secure messaging: jcollier@direct.okheart.com
  • Direct secure messaging: jcollier22250@direct.okheart.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1043350275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JACK",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OK",
            "license": "24868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200162400A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcollier@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.