NPIMap

Individual provider Active NPI

Lora M Collier, M.D.

  • Family Medicine Physician
  • Locust Grove, OK
National Provider Identifier
1154371524
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3366 Issued in AR
Practice address
609 E Main
Locust Grove, OK 74352
Phone
(918) 479-8060
Fax
(918) 479-8066
NPI assigned
May 10, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3366 AR Primary

Addresses

Primary practice location

609 E Main
Locust Grove, OK 74352

Mailing address

PO Box 1360
Locust Grove, OK 74352-1360
Phone (918) 479-8060

Other identifiers 2

IdentifierTypeStateIssuer
100212550AMedicaidOK
100212550DMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040211000651 OK Practitioner - Family Practice 1557255429 Reassigns benefits to 2 organizations
I20110609000681 AR Practitioner - Family Practice 1557255429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1245 S Utica Ave
Tulsa, OK 74104-4214

12620 S Memorial Dr
Bixby, OK 74008-2676
Phone (918) 574-0150

1551 N 9TH St
Broken Arrow, OK 74012-8898
Phone (918) 455-3627

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

609 E Main St
Locust Grove, OK 74352-5191
Phone (918) 479-8060

9001 S 101St E Ave
Tulsa, OK 74133-5711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21714OKMDClinical Social Worker
E3366ARMDFamily Medicine Physician
3366ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince May 23, 2024 Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince May 23, 2024 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 5, 2024 Accepting new patients
Mayes County Hma, LLC Past Accepting new patients
Ahs Pryor Hospital, LLC Past Accepting new patients

Locations

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441

1261 E Tulsa Ave
Kansas, OK 74347
Phone (918) 786-3391

609 E Main St
Locust Grove, OK 74352
Phone (918) 479-8060

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: lora.collier@cpg.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1154371524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "LOCUST GROVE",
            "state": "OK",
            "postal_code": "743521360",
            "telephone_number": "918-479-8060",
            "fax_number": "918-479-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MAIN",
            "city": "LOCUST GROVE",
            "state": "OK",
            "postal_code": "74352",
            "telephone_number": "918-479-8060",
            "fax_number": "918-479-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "LORA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212550A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212550D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, OK

Sources for this page

Verify at the official NPI Registry.