Active NPI
Roger N Collins, MD
- Emergency Medicine Physician
- Tomball, TX
National Provider Identifier
1215000393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- F5873
- Practice address
- 605 Holderrieth Blvd
Tomball, TX 77375-6445 - Phone
- (281) 401-7500
- NPI assigned
- Nov 16, 2006
- Last updated
- Jan 19, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F5873 | TX | Primary |
Addresses
Primary practice location
605 Holderrieth Blvd
Tomball, TX 77375-6445
Mailing address
312 Green Cove Dr
Montgomery, TX 77356-8267
Phone (936) 597-6065
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139287017 | Medicaid | TX | |
| 8AP261 | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Emergency Physicians, PA | Emergency Medicine | Past | Accepting new patients |
| Cleveland Emergency Group PA | Emergency Medicine | Past | Accepting new patients |
| Texas Emergency Room Services PA | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1205948635
-
- Emergency Medicine Physician
- Cleveland, TX
- NPI 1386604585
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1215000393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GREEN COVE DR",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773568267",
"telephone_number": "936-597-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HOLDERRIETH BLVD",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773756445",
"telephone_number": "281-401-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ROGER",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F5873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139287017",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AP261",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.