Frank J Collie MD Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Z11763 Issued in CA

Legal business name

FRANK J COLLIE MD MEDICAL CORPORATION

Practice address

148 Casa St
San Luis Obispo, CA 93405-1804

Phone

(805) 543-8310

Fax

(805) 543-3754

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Frank J. Collie, M.D.

Title

Owner

Phone

(805) 543-8310

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1295925105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CASA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051804",
            "telephone_number": "805-543-8310",
            "fax_number": "805-543-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 CASA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051804",
            "telephone_number": "805-543-8310",
            "fax_number": "805-543-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J COLLIE MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLIE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-543-8310",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "Z11763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF REGISTRATI",
            "identifier": "Z11763",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF SAN LUIS OBISPO B",
            "identifier": "020419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adil Fouzi
• Madeline Frances Fox
• Michelle Fraer
• Tiara La Tausha Francisco
• Susana Franco, AMFT 122907
• Claudia Franke
• Cynthia Frase
• Alexis Blair Fraser, MS, LMFT
• Jessica Lynn Frasier, LPT
• Randall Karl Freberg, DDS

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.