Active NPI
Dorwyn Craig Collier, D.O.
- General Practice Physician
- Elkhart, IN
National Provider Identifier
1326160425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 02001521A
- Practice address
- 3100 Windsor Court
Elkhart, IN 46514 - Phone
- (574) 266-6555
- Fax
- (574) 266-6888
- NPI assigned
- Apr 6, 2007
- Last updated
- Nov 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02001521A | IN | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 02001521A | IN | |
| General Practice Physician | 208D00000X | 02001521A | IN | Primary |
Addresses
Primary practice location
3100 Windsor Court
Elkhart, IN 46514
Mailing address
3100 Windsor Court
Elkhart, IN 46514
Phone (574) 266-6555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200097620 | Medicaid | IN | |
| 02001521A | Other | IN | LICENSE NUMBER |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001521A | IN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Urgent Care Center | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1326160425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WINDSOR COURT",
"city": "ELKHART",
"state": "IN",
"postal_code": "46514",
"telephone_number": "574-266-6555",
"fax_number": "574-266-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WINDSOR COURT",
"city": "ELKHART",
"state": "IN",
"postal_code": "46514",
"telephone_number": "574-266-6555",
"fax_number": "574-266-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "DORWYN",
"middle_name": "CRAIG",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02001521A",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IN",
"license": "02001521A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02001521A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200097620",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "02001521A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.