Charles D. Collins, MD, Facs

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20030073 Issued in NM

Legal business name

CHARLES D. COLLINS, MD, FACS

Practice address

2525 S Telshor Blvd
Suite 16-108
Las Cruces, NM 88011-5071

Phone

(575) 532-0880

Fax

(575) 532-6466

NPI assigned

Oct 5, 2007

Last updated

May 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles David Collins, M.D.

Title

Owner

Phone

(575) 532-0880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1124216015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S TELSHOR BLVD",
            "address_2": "SUITE 16-108",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115071",
            "telephone_number": "575-532-0880",
            "fax_number": "575-532-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S TELSHOR BLVD",
            "address_2": "SUITE 16-108",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115071",
            "telephone_number": "575-532-0880",
            "fax_number": "575-532-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. COLLINS, MD, FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-532-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NM",
            "license": "20030073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95582789",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ren Chang
• Change of Heart Behavior Services LLC
• Change of Thought Intergrated Health Solutions
• Patricia Vanessa Chaparro, RDH
• Susan 'Christy' Christine Chapman, RN, BSN
• Charlie Mike Base Camp (Charlie Mike)
• Charlotte's Fashions, LLC
• Gregory Alan Charlton, M.D.
• Hunana Chaudhry, DMD
• Patricia Marie Chavana, CERTIFIED NURSE PRAC

• Surgery Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.