Active NPI
Weldon E Collins MD
- Specialist
- Beaumont, TX
National Provider Identifier
1932104536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F9316
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700022935 | Other | TX | RAILROAD MEDICARE PIN |
| 114648201 | Medicaid | TX | |
| P00150081 | Other | TX | RAILROAD MEDICARE PIN |
Other names 1
- W. Edward Collins MD
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Beaumont, TX
- NPI 1316063423
-
- MOHS-Micrographic Surgery Physician
- Beaumont, TX
- NPI 1831215094
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.