Kyle Oaks Colle, D.O.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

OS15385 Issued in FL

Practice address

7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524

Phone

(239) 337-2003

Fax

(239) 337-2003

NPI assigned

Feb 23, 2007

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Joint Implant Surgeons of Florida PA

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
  • NPI 1508872839
  Medicare reassignment NPD
• Joint Implant Surgeons of Florida PA

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1184196628
  NPD
• Georgia Em-I Medical Services, LLC

  • Nurse Practitioner
  • Covington, GA
  • NPI 1255213005
  NPD (past)
• Nes Georgia, Inc.

  • Emergency Medicine Physician
  • Hazlehurst, GA
  • NPI 1144201559
  NPD (past)
• Neurosurgical Associates, LTD

  dba Barrow Brain and Spine

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1043202484
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1215062518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLE",
        "first_name": "KYLE",
        "middle_name": "OAKS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2008016208",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS15385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "D3I6D",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jointimplant@direct.myezyaccess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7331 College Pkwy Ste 300",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339075524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos Javier Collado-Rivera, MD
• Felipe B Collares, M.D.
• John Collazo, MD
• Miranda Collazo
• Nelida E. Collazo, BA
• College Park Rehabilitation and Nursing Center LLC (Ambassador Healthcare at College Park)
• College Parkway Chiropractic Health Center LLC (College Parkway Health Center)
• College Parkway Health Center LLC
• Judith Collette, ARNP
• Collier Anesthesia Pain LLC

• Neurological Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.