Mitchell J Collier, M.D.
Individual provider Active NPI Family Medicine Physician · Locust Grove, OK
NPI 1902856909 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1902856909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22429 (OK)
- Practice address
- 609 E Main
Locust Grove, OK 74352 - Phone
- (918) 479-8060
- Fax
- (918) 479-8066
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ahs Oklahoma Physician Group LLC
Practice addresses (Care Compare)
1551 N 9TH St
Broken Arrow, OK 74012-8898
Phone (918) 455-3627
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
609 E Main St
Locust Grove, OK 74352-5191
Phone (918) 479-8060
Hospital & facility affiliations
- Angels Care Home Health of East Oklahoma
- Via Life Home Health Care
- Hillcrest Hospital Pryor
- Hillcrest Hospital Claremore
- Hillcrest Medical Center
- Northeastern Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040618000591 | OK | Practitioner - Family Practice |
8123003845 | Reassigns benefits to 2 organizations |
| I20040909001385 | AR | Practitioner - Family Practice | 8123003845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Current |
Accepting new patients |
| Ahs Pryor Hospital, LLC | Past | Accepting new patients |
Locations
451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441
1261 E Tulsa Ave
Kansas, OK 74347
Phone (918) 786-7300
609 E Main St
Locust Grove, OK 74352
Phone (918) 479-8060
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
Interoperability endpoints
- mitchell.collier@cpg.eclinicaldirectplus.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22429 | OK | Yes |
Addresses
Primary practice location
609 E Main
Locust Grove, OK 74352
Mailing address
PO Box 1360
Locust Grove, OK 74352-1360
Phone (918) 479-8060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5N110 | Other | AR | BCBS AR |
| 200001810A | Medicaid | OK | |
| 200001810C | Medicaid | OK |
Other providers in Locust Grove, OK
- Black Drug Inc
- Linda Cantrell
- CCM Chiropractic LLC
- Holly Coffey
- Lora M Collier
- Connie Cooper
- County of Mayes Locust Grove Schools
- Dental Arts of Locust Grove, LLC
- Linda Deselle
- Shelby Lace Doughty
All providers in Locust Grove, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.