Active NPI
Richard Leo Collins, M.D.
- Orthopaedic Surgery Physician
- Paradise Valley, AZ
National Provider Identifier
1740276583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5016
- Practice address
- 5525 E Lincoln Dr
# 105
Paradise Valley, AZ 85253-4119 - Phone
- (480) 948-6416
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5016 | AZ | Primary |
Addresses
Primary practice location
5525 E Lincoln Dr
# 105
Paradise Valley, AZ 85253-4119
Mailing address
5525 E Lincoln Dr
# 105
Paradise Valley, AZ 85253-4119
Phone (480) 948-6416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0028820 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 224337-04 | Other | AZ | STATE AHCCS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016 | AZ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1740276583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 E LINCOLN DR",
"address_2": "# 105",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852534119",
"telephone_number": "480-948-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 E LINCOLN DR",
"address_2": "# 105",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852534119",
"telephone_number": "480-948-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "RICHARD",
"middle_name": "LEO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "5016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0028820",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE AHCCS",
"identifier": "224337-04",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.