Elbert Campbell Collins, M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Cave Junction, OR

NPI 1801891767 · NPPES record last updated Mar 18, 2013

Key facts

NPI
1801891767
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
MD14732 (OR)
Practice address
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone
(541) 592-4111
Fax
(541) 592-3782
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Elbert C Collins MD Past
since May 24, 2012
Accepting new patients
Katherine Mechling Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD14732 OR Yes

Addresses

Primary practice location

25647 Redwood Hwy
Cave Junction, OR 97523-9332

Mailing address

25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone (541) 592-4111

Other identifiers

IdentifierTypeStateIssuer
180909MedicaidOR

Other providers in Cave Junction, OR

All providers in Cave Junction, OR · Obstetrics & Gynecology Physician in Oregon

Sources for this page

Verify at the official NPI Registry.