NPIMap

Individual provider Active NPI

John Colleran, D.O.

  • Interventional Cardiology Physician
  • North Little Rock, AR
National Provider Identifier
1265494231
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E-5551 Issued in AR
Practice address
4000 Richards Rd
Suite a
North Little Rock, AR 72117-2650
Phone
(501) 758-5133
Fax
(501) 758-5173
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS7028 FL
Interventional Cardiology Physician 207RI0011X E-5551 AR Primary

Addresses

Primary practice location

4000 Richards Rd
Suite a
North Little Rock, AR 72117-2650

Mailing address

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000389 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 8224086178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Infirmary Medical Center 44 clinicians

Practice addresses (Care Compare)

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7028FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince Mar 6, 2009 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
St. Vincent Infirmary Medical Center CurrentSince Aug 10, 2009 Accepting new patients
Baptist Health CurrentSince Mar 6, 2009 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Aug 10, 2009 Accepting new patients
Heart Clinic Arkansas Current Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients
Cardiology Consultants Specialist Past Accepting new patients
West Florida Cardiology Network, LLC Interventional Cardiology PastSince Jan 1, 2011 Accepting new patients

Locations

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

4000 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 758-3999

1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: jcolleran456213@direct.stlukeshealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1265494231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056202",
            "telephone_number": "501-255-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RICHARDS RD",
            "address_2": "SUITE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172650",
            "telephone_number": "501-758-5133",
            "fax_number": "501-758-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLERAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS7028",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-5551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.