Active NPI
Carolyn Kollar, D.O.
- Obstetrics & Gynecology Physician
- Mansfield, TX
National Provider Identifier
1912976200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L9292
- Practice address
- 1758 Broad Park Cir S
Mansfield, TX 76063-7822 - Phone
- (972) 780-7330
- Fax
- (972) 780-7385
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | L9292 | TX | Primary |
Addresses
Primary practice location
1758 Broad Park Cir S
Mansfield, TX 76063-7822
Mailing address
1758 Broad Park Cir S
Mansfield, TX 76063-7822
Phone (972) 780-7330
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1912976200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1758 BROAD PARK CIR S",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637822",
"telephone_number": "972-780-7330",
"fax_number": "972-780-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1758 BROAD PARK CIR S",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637822",
"telephone_number": "972-780-7330",
"fax_number": "972-780-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLAR",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L9292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.