Active NPI
Richard D. Collison, M.D.,P.C.
- Orthopaedic Surgery Physician
- Prescott, AZ
National Provider Identifier
1295931434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 15632
- Legal business name
- RICHARD D. COLLISON, M.D.,P.C.
- Practice address
- 1003 Willow Creek Rd
Prescott, AZ 86301-1641 - Phone
- (928) 778-5443
- Fax
- (928) 443-1572
- NPI assigned
- Jun 25, 2007
- Organization subpart
- Yes
- Parent organization
- RICHARD COLLISON MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Davis Collison, M.D.
- Title
- President
- Phone
- (928) 778-5443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 15632 | AZ | Primary |
Addresses
Primary practice location
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Mailing address
PO Box 2860
Prescott, AZ 86302-2860
Phone (928) 778-5443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669448395 | Other | AZ | INDIVIDUAL NPI NEED GRP |
| 249559 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- Richard D Collison MD P
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Prescott, AZ
- NPI 1669448395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315872000000",
"number": "1295931434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2860",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863022860",
"telephone_number": "928-778-5443",
"fax_number": "928-443-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011641",
"telephone_number": "928-778-5443",
"fax_number": "928-443-1572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD D. COLLISON, M.D.,P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RICHARD COLLISON MD PC",
"enumeration_date": "2007-06-25",
"last_updated": "2011-09-13",
"status": "A",
"authorized_official_last_name": "COLLISON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-778-5443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "15632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NEED GRP",
"identifier": "1669448395",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249559",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.