Active NPI
Kenneth Wayne Collier Jr.
- Paramedic
- Dayton, OH
National Provider Identifier
1134808272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 114336
- Practice address
- 2554 Needmore Rd # C2
Dayton, OH 45414-4204 - Phone
- (937) 672-0894
- NPI assigned
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 114336 | OH | Primary |
Addresses
Primary practice location
2554 Needmore Rd # C2
Dayton, OH 45414-4204
Mailing address
PO Box 13353
Dayton, OH 45413-0353
Phone (937) 672-0894
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 |
|---|---|---|---|
| 114336 | OH | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Network 24, LLC | Current | Accepting new patients | |
| Mobilenetwork24-Com Inc | Current | Accepting new patients | |
| Mobilenetwork24.Com, LLC | Current | Accepting new patients |
Locations
2554 Needmore Rd
#C2
Dayton, OH 45414
Phone (937) 672-0894
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulance
- Vandalia, OH
- NPI 1013884618
-
- Land Ambulance
- Vandalia, OH
- NPI 1982571576
-
- Land Ambulance
- Dayton, OH
- NPI 1588343628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1134808272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13353",
"city": "DAYTON",
"state": "OH",
"postal_code": "454130353",
"telephone_number": "937-672-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 NEEDMORE RD # C2",
"city": "DAYTON",
"state": "OH",
"postal_code": "454144204",
"telephone_number": "937-672-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "KENNETH",
"middle_name": "WAYNE",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "OH",
"license": "114336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.