John W. Collins Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R3688 Issued in MO

Practice address

19550 E 39TH St S
Suite 400
Independence, MO 64057-2303

Phone

(816) 254-4800

Fax

(816) 254-4641

NPI assigned

Aug 23, 2005

Last updated

Feb 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic Asociates of Kansas City Inc., P.C..

  • Specialist
  • Independence, MO
  • NPI 1750373973
  NPD (past) Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1912990227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 S BOLGER CT",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553971",
            "telephone_number": "816-254-4800",
            "fax_number": "816-254-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 400",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-254-4800",
            "fax_number": "816-254-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Coleman, PTA
• Sheleya Charron Coleman
• Allison E Collins, PT, DPT
• Andrew Lane Collins
• Jacquelyn Collins
• Kierra Collins
• Timothy G Collins
• Daniel Collis
• Samantha Grace Commons, MA
• Community Access

• Specialist in Independence, MO
• Providers in Independence, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.