Active NPI
Daniel Wolfe Collison, M.D.
- General Practice Physician
- Hanover, NH
National Provider Identifier
1235102922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8614
- Practice address
- 7 Pleasant St
Hanover, NH 03755-2008 - Phone
- (603) 643-5748
- NPI assigned
- Feb 11, 2006
- Last updated
- Oct 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 8614 | NH | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 8614 | NH | |
| Procedural Dermatology Physician | 207NS0135X | 8614 | NH | |
| General Practice Physician | 208D00000X | 8614 | NH | Primary |
Addresses
Primary practice location
7 Pleasant St
Hanover, NH 03755-2008
Mailing address
7 Pleasant St
Hanover, NH 03755-2008
Phone (603) 643-5748
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4248210 | Other | AETNA PROVIDER ID | |
| E52148 | Other | HARVARD PILGRIM | |
| 0002051 | Medicaid | VT | |
| 070011185 | Other | RAILROAD MEDICARE | |
| 07502 | Other | MVP | |
| 7323862 | Other | CIGNA NATIONAL PROVIDER | |
| 008614 | Other | TUFTS | |
| 0106540Y0NH01 | Other | ANTHEM PROVIDER # | |
| 20234 | Other | MATTHEW THORNTON HP | |
| 80002051 | Medicaid | NH | |
| P378192 | Other | OXFORD | |
| 3083123 | Other | AETNA HMO PROVIDER ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8614 | NH | MD | MOHS-Micrographic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1235102922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PLEASANT ST",
"city": "HANOVER",
"state": "NH",
"postal_code": "037552008",
"telephone_number": "603-643-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PLEASANT ST",
"city": "HANOVER",
"state": "NH",
"postal_code": "037552008",
"telephone_number": "603-643-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLISON",
"first_name": "DANIEL",
"middle_name": "WOLFE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-11",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "8614",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NH",
"license": "8614",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NH",
"license": "8614",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NH",
"license": "8614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "4248210",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "E52148",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002051",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070011185",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "07502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA NATIONAL PROVIDER",
"identifier": "7323862",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "008614",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER #",
"identifier": "0106540Y0NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MATTHEW THORNTON HP",
"identifier": "20234",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80002051",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P378192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PROVIDER ID",
"identifier": "3083123",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.