Organization Active NPI

Donald M. Collins, M.D., P.a.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1396811675
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82417 Issued in FL
Legal business name
DONALD M. COLLINS, M.D., P.A.
Practice address
1109 Lucerne Ter
Orlando, FL 32806-1016
Phone
(407) 843-4251
Fax
(407) 843-6461
NPI assigned
Nov 28, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Donald Michael Collins, M.D.NPI 1366559700
Title
President
Phone
(407) 843-4251

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME82417 FL Primary

Addresses

Primary practice location

1109 Lucerne Ter
Orlando, FL 32806-1016

Mailing address

1109 Lucerne Ter
Orlando, FL 32806-1016
Phone (407) 843-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000615 FL Part B Supplier - Clinic/Group Practice 2567489859 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

1109 Lucerne Ter
Orlando, FL 32806
Phone (407) 843-4251

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1396811675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061016",
            "telephone_number": "407-843-4251",
            "fax_number": "407-843-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061016",
            "telephone_number": "407-843-4251",
            "fax_number": "407-843-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M. COLLINS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-843-4251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.