Organization Active NPI

Weldon E Collins MD

  • Specialist
  • Beaumont, TX
National Provider Identifier
1932104536
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F9316 Issued in TX
Legal business name
WELDON E COLLINS MD
Practice address
2929 Calder St
Ste 312
Beaumont, TX 77702-1831
Phone
(409) 835-1333
Fax
(409) 835-2629
NPI assigned
Jun 20, 2005
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Mrs. Pamela T. Dineen, RN, PHN
Title
Office Manager
Phone
(409) 835-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F9316 TX Primary

Addresses

Primary practice location

2929 Calder St
Ste 312
Beaumont, TX 77702-1831

Mailing address

2929 Calder St
Ste 312
Beaumont, TX 77702-1831
Phone (409) 835-1333

Other identifiers 3

IdentifierTypeStateIssuer
0700022935OtherTXRAILROAD MEDICARE PIN
114648201MedicaidTX
P00150081OtherTXRAILROAD MEDICARE PIN

Other names 1

  • W. Edward Collins MD Other name

National Provider Directory

National Provider Directory

Locations

2929 Calder St
Ste 312
Beaumont, TX 77702
Phone (409) 835-1333

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1932104536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "STE 312",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021831",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "STE 312",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021831",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDON E COLLINS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "DINEEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-835-1333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, PHN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F9316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "0700022935",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114648201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00150081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W. Edward Collins MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.