Collier Medical Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLLIER MEDICAL SERVICES LLC

Practice address

1661 State Route 522 Unit 2
Wheelersburg, OH 45694-8120

Phone

(740) 574-1770

Fax

(740) 574-8781

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Marilyn J Collier

Title

Owner

Phone

(740) 574-1770

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Beekman

  • Personal Care Attendant
  • Wheelersburg, OH
  • NPI 1295331122
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1164023677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522 UNIT 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-1770",
            "fax_number": "740-574-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522 UNIT 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-1770",
            "fax_number": "740-574-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-574-1770"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164023677",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wheelersburg",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1661 State Route 522",
            "city": "Wheelersburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456948120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Dawn Clark, LPN
• Ronda L Clayton
• James R Clevenger
• Stephanie Cline
• Collier Home Medical LLC
• Cory D Collins
• Jenifer Rose Combs, CNP
• Crystal Conn
• Johnnie M. Conn, MSW, LSW
• Lindsay Nicole Conn, RN

• Internal Medicine Physician in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.