Active NPI
Andrea K Collet, MD
- Pediatrics Physician
- Zanesville, OH
National Provider Identifier
1265503551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35082635
- Practice address
- 305 Sunrise Center Dr
Zanesville, OH 43701-4663 - Phone
- (740) 816-7346
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | 35-082635 | OH | |
| Pediatrics Physician | 208000000X | 35082635 | OH | Primary |
Addresses
Primary practice location
305 Sunrise Center Dr
Zanesville, OH 43701-4663
Mailing address
PO Box 2582
Zanesville, OH 43702-2582
Phone (740) 562-6868
Other practice location 1
1066 Beverly Ave
Zanesville, OH 43701-1415
Phone (740) 450-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2430284 | Medicaid | OH |
Other names 1
- Andrea K Frueh
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 |
|---|---|---|---|
| 35-082635 | OH | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collet Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
| Primecare of Southeastern Ohio, Inc. | Pediatrics | Past | Accepting new patients |
Locations
305 Sunrise Center Dr
Zanesville, OH 43701
Phone (740) 454-6833
Interoperability endpoints
- andrea.collet.p25@direct.pgseo.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Zanesville, OH
- NPI 1538739206
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1417932294
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1265503551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2582",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437022582",
"telephone_number": "740-562-6868",
"fax_number": "740-205-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SUNRISE CENTER DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437014663",
"telephone_number": "740-816-7346"
}
],
"practiceLocations": [
{
"address_1": "1066 Beverly Ave",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437011415",
"country_code": "US",
"telephone_number": "740-450-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLET",
"first_name": "ANDREA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "OH",
"license": "35-082635",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35082635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2430284",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "FRUEH",
"middle_name": "K",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.