Collins & Wolz MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COLLINS & WOLZ MD PC

Practice address

625 W Platte Ave
Fort Morgan, CO 80701-2669

Phone

(970) 867-4916

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Linda Jackson

Title

Office Manager

Phone

(970) 867-4916

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083730196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807010799",
            "telephone_number": "970-867-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012669",
            "telephone_number": "970-867-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS & WOLZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-867-4916"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04990040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikayla Christenson
• Laura A Cieslik, MD
• City Pharmacy
• Karl Cline, MA
• Christopher Cobbley
• Jean Marie Collins, MS
• Michael Collins, D.D.S.
• Colorado Health Providers LLC
• Colorado in-Home Partner-I, LLC
• Colorado Plain Physician Practices, LLC

• Surgery Physician in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.