Active NPI
Anthony Scott Collias, DC
- Chiropractor
- Charleston, WV
National Provider Identifier
1659477248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 752
- Practice address
- 4710 Chimney Dr Ste H
Charleston, WV 25302-4841 - Phone
- (304) 965-2458
- Fax
- (304) 965-2258
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 752 | WV | Primary |
Addresses
Primary practice location
4710 Chimney Dr Ste H
Charleston, WV 25302-4841
Mailing address
4710 Chimney Dr Ste H
Charleston, WV 25302-4841
Phone (304) 965-2458
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001722786 | Other | WV | BC/BS |
| 1042963 | Other | CIGNA | |
| 149986 | Other | CARELINK | |
| 2204007-001 | Medicaid | WV | |
| 1059093 | Other | WV | BRICKSTREET |
| 7853274 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4710 Chimney Dr
Suite D
Charleston, WV 25302-4841
Phone (304) 965-2458
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elk Valley Health & Wellness | Chiropractor | Current | Accepting new patients |
| Elk Valley Physical Therapy Inc | Past | Accepting new patients | |
| Valley Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
4710 Chimney Dr
Ste D
Charleston, WV 25302
Phone (304) 965-2458
4710 Chimney Dr
Charleston, WV 25302
4710 Chimney Dr
Ste H
Charleston, WV 25302
Phone (304) 935-2513
Organizations & group practices 3
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.
-
- Chiropractor
- Scott Depot, WV
- NPI 1790085488
-
- Physical Therapist
- Elkview, WV
- NPI 1073824918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1659477248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 CHIMNEY DR STE H",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253024841",
"telephone_number": "304-965-2458",
"fax_number": "304-965-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 CHIMNEY DR STE H",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253024841",
"telephone_number": "304-965-2458",
"fax_number": "304-965-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIAS",
"first_name": "ANTHONY",
"middle_name": "SCOTT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "001722786",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1042963",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "149986",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204007-001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1059093",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7853274",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.