Milo S Collier Jr., CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS00000061 Issued in WA

Practice address

1113 Vandercook Way
Suite 120
Longview, WA 98632-4024

Phone

(360) 423-0459

Fax

(360) 575-1144

NPI assigned

Jun 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ava Inc.

  • Prosthetic/Orthotic Supplier
  • Longview, WA
  • NPI 1447344296
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1053631085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327568",
            "telephone_number": "360-423-0459",
            "fax_number": "360-575-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 VANDERCOOK WAY",
            "address_2": "SUITE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324024",
            "telephone_number": "360-423-0459",
            "fax_number": "360-575-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MILO",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057407",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Alexandra Coalter
• Vicky Ilene Coauette-Owens, AAC, MHP
• Vincent Guy Cochran
• Christin G Cole, AAS, R-AAC, CPC
• Amanda Nichole Coleman
• Columbia Medical PLLC
• Columbia Wellness
• Hailey Colwell, AAC
• Community Home Health Hospice
• Community House on Broadway

• Prosthetist in Longview, WA
• Providers in Longview, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.