Active NPI
Donald Dean Collins, MD
- Family Medicine Physician
- Englewood, OH
National Provider Identifier
1235123472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35046391
- Practice address
- 211 W National Rd
Englewood, OH 45322-1437 - Phone
- (937) 208-8100
- Fax
- (937) 208-8120
- NPI assigned
- Sep 2, 2005
- Last updated
- Nov 8, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35046391 | OH | Primary |
Addresses
Primary practice location
211 W National Rd
Englewood, OH 45322-1437
Mailing address
211 W National Rd
Englewood, OH 45322-1437
Phone (937) 208-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0478451 | Medicaid | OH |
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 |
|---|---|---|---|
| 35046391 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Valley Medical Center | Past | Accepting new patients | |
| Piqua Family Practice Inc | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| West Central Emergency Physicians | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Lima Memorial Health System
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- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
-
- Emergency Medicine Physician
- Troy, OH
- NPI 1578558417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1235123472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W NATIONAL RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453221437",
"telephone_number": "937-208-8100",
"fax_number": "937-208-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W NATIONAL RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453221437",
"telephone_number": "937-208-8100",
"fax_number": "937-208-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DONALD",
"middle_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35046391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0478451",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.