Active NPI
Daniel W. Collison MD PLLC
- Clinic/Center
- Hanover, NH
National Provider Identifier
1053384743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012208 | Medicaid | VT |
Other names 1
- RiverRun Medical Offices
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Lebanon, NH
- NPI 1801981576
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.