Collins Podiatry Corporation

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

COLLINS PODIATRY CORPORATION

Doing business as

Novato Advanced Foot and Ankle

Practice address

1223 Grant Ave Ste D
Novato, CA 94945-3157

Phone

(918) 327-3282

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Collins, DPMNPI 1649799248

Title

President

Phone

(918) 327-3282

Specialties & licenses 1

Addresses

Other names 1

• Novato Advanced Foot and Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Michael Collins, DPM

  • Foot & Ankle Surgery Podiatrist
  • Novato, CA
  • NPI 1649799248
  Medicare reassignment Care Compare group NPD Authorized official
• Barry Michael Nemrow, DPM

  • Foot Surgery Podiatrist
  • Novato, CA
  • NPI 1770539355
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1811519515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 TAYLOR CT",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085505372",
            "telephone_number": "918-327-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GRANT AVE STE D",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453157",
            "telephone_number": "918-327-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-327-3282",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novato Advanced Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Cohen
• Wendy Anne Cole, MD
• Gregory Watson Coleman, L.AC
• John P Coleman, PSYD
• Gianna Niole Colla, PT DPT
• Adam Michael Collins, DPM
• Nicole Collins, AMFT
• Hanikkah Joy Colonia Diaz
• Michelle Marie Colvin
• David L. Conant, MD

• Podiatric Clinic/Center in Novato, CA
• Providers in Novato, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.