Active NPI
Charles Robert Collier III, PA-C
- Physician Assistant
- Galion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003838
- Practice address
- 269 Portland Way S
Galion, OH 44833-2312 - Phone
- (419) 468-0733
- NPI assigned
- Sep 18, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003838 | OH | Primary |
Addresses
Primary practice location
269 Portland Way S
Galion, OH 44833-2312
Mailing address
332 Congress Park Dr
Dayton, OH 45459-4133
Phone (800) 726-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131025000994 | OH | Practitioner - Physician Assistant | 8628203718 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Radiology and Interventional Associates Inc
Practice addresses (Care Compare)
1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000
Hospital & facility affiliations
- Marion General Hospital
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 71.52
- Promoting interoperability
- 95.57
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003838 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Galion Emergency Physicians Inc | Past | Accepting new patients | |
| Marion Physician Billing LLC | Past | Accepting new patients | |
| Marion General Hospital Foundation, Inc. | Past | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841
1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
OH
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Emergency Medicine Physician
- Galion, OH
- NPI 1457391187
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1134114077
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1013247568
Hospital & facility affiliations 3
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": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1275969677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 CONGRESS PARK DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594133",
"telephone_number": "800-726-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 PORTLAND WAY S",
"city": "GALION",
"state": "OH",
"postal_code": "448332312",
"telephone_number": "419-468-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "CHARLES",
"middle_name": "ROBERT",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "003838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.