Active NPI
John W Collings, PAC
- Physician Assistant
- Los Alamos, NM
National Provider Identifier
1366658221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA89-03
- Practice address
- Los Alamos National Lab
Occupational Med Dept
Los Alamos, NM 87545-0001 - Phone
- (505) 667-7890
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- 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 | PA89-03 | NM | Primary |
Addresses
Primary practice location
Los Alamos National Lab
Occupational Med Dept
Los Alamos, NM 87545-0001
Mailing address
Los Alamos National Lab
PO Box 1663 Ms D421
Los Alamos, NM 87545-0001
Phone (505) 667-7890
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA89-03 | NM | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366658221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOS ALAMOS NATIONAL LAB",
"address_2": "PO BOX 1663 MS D421",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875450001",
"telephone_number": "505-667-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOS ALAMOS NATIONAL LAB",
"address_2": "OCCUPATIONAL MED DEPT",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875450001",
"telephone_number": "505-667-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINGS",
"first_name": "JOHN",
"middle_name": "W",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA89-03",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.