Active NPI
Collin J O'Hara, MD
- Anatomic Pathology & Clinical Pathology Physician
- Rowlett, TX
National Provider Identifier
1649400094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- N2692
- Practice address
- 7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088-9322 - Phone
- (972) 526-0340
- Fax
- (972) 996-1857
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | N2692 | TX | Primary |
Addresses
Primary practice location
7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088-9322
Mailing address
PO Box 226
Rowlett, TX 75030-0226
Phone (972) 526-0340
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DJ604 | Other | TX | BLUE CROSS BLUE SHIELD |
| P01096822 | Other | RAILROAD MEDICARE | |
| 215933703 | Medicaid | TX | |
| 215933704 | Medicaid | TX | |
| 8DJ6503 | Other | TX | BLUE CROSS BLUE SHIELD |
| P01096827 | Other | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N2692 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1649400094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750300226",
"telephone_number": "972-526-0340",
"fax_number": "972-996-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 LAKEVIEW PKWY",
"address_2": "STE 160",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750889322",
"telephone_number": "972-526-0340",
"fax_number": "972-996-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HARA",
"first_name": "COLLIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "N2692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8DJ604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01096822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215933703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215933704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8DJ6503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01096827",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.