Organization Active NPI

Daniel W. Collison MD PLLC

  • Clinic/Center
  • Hanover, NH
National Provider Identifier
1053384743
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DANIEL W. COLLISON MD PLLC
Doing business as
RiverRun Medical Offices
Practice address
63 S Main St
Lower Level
Hanover, NH 03755-2072
Phone
(603) 643-7733
Fax
(603) 643-7703
NPI assigned
Feb 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Daniel Wolfe Collison, M.D.
Title
Manager
Phone
(603) 643-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

63 S Main St
Lower Level
Hanover, NH 03755-2072

Mailing address

63 S Main St
Lower Level
Hanover, NH 03755-2072
Phone (603) 643-7733

Other identifiers 1

IdentifierTypeStateIssuer
1012208MedicaidVT

Other names 1

  • RiverRun Medical Offices Doing business as

National Provider Directory

National Provider Directory

Locations

63 S Main St
Hanover, NH 03755
Phone (603) 643-7733

63 S Main St
Lowr
Hanover, NH 03755
Phone (603) 643-7733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1053384743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552072",
            "telephone_number": "603-643-7733",
            "fax_number": "603-643-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 S MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552072",
            "telephone_number": "603-643-7733",
            "fax_number": "603-643-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL W. COLLISON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-11",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "COLLISON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-643-7733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012208",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverRun Medical Offices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.