Individual provider Active NPI

Stephen Collins

  • Nurse Practitioner
  • Canton, OH
National Provider Identifier
1427474527
Registry record updated Apr 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15412 Issued in OH
Practice address
1684 Fallen Timber St NE
Canton, OH 44721-3858
Phone
(330) 265-7099
NPI assigned
Mar 13, 2014
Last updated
Apr 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15412 OH Primary

Addresses

Primary practice location

1684 Fallen Timber St NE
Canton, OH 44721-3858

Mailing address

1684 Fallen Timber St NE
Canton, OH 44721-3858
Phone (330) 265-7099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150813009513 OH Practitioner - Nurse Practitioner 8628383130 Reassigns benefits to 7 organizations
I20190128000571 NY Practitioner - Nurse Practitioner 8628383130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
341308NYMDLicensed Practical Nurse
15412OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC Nurse Practitioner CurrentSince Dec 18, 2023 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Dec 3, 2018 Accepting new patients
Ohio Valley Physicians Inc CurrentSince May 1, 2023 Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD CurrentSince Feb 22, 2017 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Dec 3, 2018 Accepting new patients
Clinical Hematology and Oncology Services, Inc. Current Accepting new patients
4M Hospitalist Services, LLC Nurse Practitioner CurrentSince Oct 29, 2022 Accepting new patients
Osup Community Outreach LLC CurrentSince Sep 17, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Ohio Valley Physicians Inc Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients

Locations

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

1111 Lincoln Way E
Massillon, OH 44646
Phone (330) 809-1800

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682208000000",
    "number": "1427474527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 FALLEN TIMBER ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213858",
            "telephone_number": "330-265-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 FALLEN TIMBER ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213858",
            "telephone_number": "330-265-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2023-04-23",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "15412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.