Collaborative Health Group, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COLLABORATIVE HEALTH GROUP, PLLC

Practice address

9301 N Central Expy Ste 685
Dallas, TX 75231-0816

Phone

(469) 697-7300

Fax

(469) 697-7302

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Lawrence Wasserman, MDNPI 1568449361

Title

Managing Member

Phone

(214) 886-2108

Specialties & licenses 1

Addresses

Other names 1

• Vital Spine and Pain Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendolyn Clark Brown, FNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1497835722
  Medicare reassignment Care Compare group NPD
• Aaron Thomas Lloyd, MD

  • Interventional Pain Medicine Physician
  • Dallas, TX
  • NPI 1043297856
  Medicare reassignment Care Compare group NPD
• Jeffrey L. Wasserman, M.D.

  • Anesthesiology Physician
  • Rockwall, TX
  • NPI 1568449361

  Pain Medicine

  Medicare reassignment NPD Authorized official
• Amy L Greene, DNP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1821572694
  Medicare reassignment NPD
• Jay Thomas Humphrey, D.C.

  • Chiropractor
  • Rockwall, TX
  • NPI 1972787992
  NPD (past)
• Ali Atef Hijazi, MD

  • Internal Medicine Physician
  • Low Moor, VA
  • NPI 1225033368
  NPD (past)

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1386265353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 685",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310816",
            "telephone_number": "469-697-7300",
            "fax_number": "469-697-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 685",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310816",
            "telephone_number": "469-697-7300",
            "fax_number": "469-697-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALTH GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-886-2108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Daniel Colerick, O.D.
• Vicki L Colerick
• Elizabeth Jeannine Coles, LPC
• David Lamont Coley Jr., LPC
• Erin Quinnett Coley
• Collaborative Home Care
• Alisha Collaco
• John David Collantes, PTA
• Meredith Lynne Collard, DNP, RN, BSN
• Nikki Lynn Collard, RN

• Interventional Pain Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.