Individual provider Active NPI

Mark W. Collar, M.D.

  • Anesthesiology Physician
  • Monroe, WI
National Provider Identifier
1659354553
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
38554 Issued in WI
Practice address
515 22ND Ave
Monroe Clinic
Monroe, WI 53566-1569
Phone
(608) 324-2222
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 38554 WI Primary

Addresses

Primary practice location

515 22ND Ave
Monroe Clinic
Monroe, WI 53566-1569

Mailing address

515 22ND Ave
Monroe, WI 53566-1569
Phone (715) 361-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040519000697 WI Practitioner - Anesthesiology 3173514155 Reassigns benefits to 4 organizations
I20230815003117 MI Practitioner - Anesthesiology 3173514155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Michigan-Alpena PLLCGroup PAC ID 6406260124, 25 clinicians

Practice addresses (Care Compare)

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

  • Dickinson County Memorial Hospital Hospital, Iron Mountain, MI, CCN 230055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38554WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Clinic LLP Anesthesiology Current Accepting new patients
Mercy Health System Corporation CurrentSince Mar 27, 2017 Accepting new patients
Hospitalist Medicine Physicians of Michigan-Alpena PLLC Anesthesiology CurrentSince Jul 12, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 27, 2017 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 21, 2017 Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Baycare Clinic LLP CurrentSince Jan 1, 2018 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 21, 2017 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Anesthesia Associates of Wisconsin Rapids, S.C. Anesthesiology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

1035 Kepler Dr
Green Bay, WI 54311

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

1550 Midway Pl
Ste 100
Menasha, WI 54952
Phone (214) 726-6042

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1659354553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "715-361-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "address_2": "MONROE CLINIC",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAR",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "38554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

Verify at the official NPI Registry.