Active NPI
W Edward Collins MD PA
- Dermatology Physician
- Beaumont, TX
National Provider Identifier
1043458672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F9316
- Legal business name
- W EDWARD COLLINS MD PA
- Practice address
- 3070 College St Ste 208
Beaumont, TX 77701-4688 - Phone
- (409) 835-1333
- Fax
- (409) 835-2629
- NPI assigned
- Feb 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Weldon Edward Collins, MD
- Title
- Owner
- Phone
- (409) 835-1333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F9316 | TX | Primary |
Addresses
Primary practice location
3070 College St Ste 208
Beaumont, TX 77701-4688
Mailing address
3070 College St Ste 208
Beaumont, TX 77701-4688
Phone (409) 835-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3070 College St
Ste 208
Beaumont, TX 77701
Phone (409) 835-1333
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Plano, TX
- NPI 1235810912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486512000000",
"number": "1043458672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 COLLEGE ST STE 208",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014688",
"telephone_number": "409-835-1333",
"fax_number": "409-838-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 COLLEGE ST STE 208",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014688",
"telephone_number": "409-835-1333",
"fax_number": "409-835-2629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W EDWARD COLLINS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2017-02-08",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "WELDON",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-835-1333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "F9316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.