Individual provider Active NPI

Paul E Collier, M.D.

  • Vascular Surgery Physician
  • Sewickley, PA
National Provider Identifier
1487686739
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD025094E Issued in PA
Practice address
701 Broad St
Sewickley, PA 15143-1652
Phone
(412) 749-9868
Fax
(412) 749-9729
NPI assigned
Jul 7, 2006
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD025094E PA Primary

Addresses

Primary practice location

701 Broad St
Sewickley, PA 15143-1652

Mailing address

701 Broad St
Sewickley, PA 15143-1652
Phone (412) 749-9868

Other identifiers 1

IdentifierTypeStateIssuer
0010491310015MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000659 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 9234152992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Yale University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Pittsburgh Surgical Alliance PCGroup PAC ID 6608899364, 2 clinicians

Practice addresses (Care Compare)

701 Broad St
Suite 432
Sewickley, PA 15143-1652
Phone (412) 749-9868

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal21
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD025094EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pittsburgh Surgical Alliance PC CurrentSince Oct 24, 2005 Accepting new patients

Locations

111 Stow Ave
Ste 200
Cuyahoga Fls, OH 44221

255 3rd St
Beaver, PA 15009
Phone (724) 728-1700

701 Broad St
Sewickley, PA 15143
Phone (412) 741-2552

701 Broad St
Fl 4
Sewickley, PA 15143
Phone (412) 741-2700

701 Broad St
Ste 432
Sewickley, PA 15143
Phone (412) 749-9868

Interoperability endpoints

  • Direct secure messaging: venahealth@vena.streamlinemddirect.com

Organizations & group practices 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1487686739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-749-9868",
            "fax_number": "412-749-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-749-9868",
            "fax_number": "412-749-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD025094E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010491310015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.