Active NPI
Marcos Collazo
- Paramedic
- Seattle, WA
National Provider Identifier
1083084743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P35402
- Practice address
- 4259 23Rd Ave W Ste 200
Seattle, WA 98199-1534 - Phone
- (206) 535-8002
- NPI assigned
- Oct 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P35402 | CA | Primary |
| Paramedic | 146L00000X | 047999 | CO | |
| Paramedic | 146L00000X | 168840 | OH | |
| Paramedic | 146L00000X | EMTP 2118 | HI | |
| Paramedic | 146L00000X | 133421 | ND |
Addresses
Primary practice location
4259 23Rd Ave W Ste 200
Seattle, WA 98199-1534
Mailing address
4259 23Rd Ave W Ste 200
Seattle, WA 98199-1534
Phone (206) 535-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P35402 | CA | MD | Paramedic |
| 047999 | CO | MD | Paramedic |
| EMTP 2118 | HI | MD | Paramedic |
| 133421 | ND | MD | Paramedic |
| 168840 | OH | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remote Medical International | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Seattle, WA
- NPI 1740657824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1083084743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4259 23RD AVE W STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981991534",
"telephone_number": "206-535-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4259 23RD AVE W STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981991534",
"telephone_number": "206-535-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "MARCOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-06",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "CA",
"license": "P35402",
"primary": true
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "CO",
"license": "047999",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "OH",
"license": "168840",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "HI",
"license": "EMTP 2118",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "ND",
"license": "133421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.