Individual provider Active NPI

Mark S. Collins, M.D.

  • Hematology & Oncology Physician
  • Columbus, OH
National Provider Identifier
1962451021
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35065485 Issued in OH
Practice address
1492 E Broad St
Tower 13
Columbus, OH 43205-1546
Phone
(614) 257-2900
Fax
(614) 257-2079
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35065485 OH Primary

Addresses

Primary practice location

1492 E Broad St
Tower 13
Columbus, OH 43205-1546

Mailing address

1492 E Broad St
Tower 13
Columbus, OH 43205-1546
Phone (614) 257-2900

Other identifiers 1

IdentifierTypeStateIssuer
0331055MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000193 OH Practitioner - Medical OncologyPractitioner - Hematology/Oncology 5294868832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

803 W Market St
Suite 200
Lima, OH 45805-2796
Phone (419) 222-3737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35065485OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP-Wilmington, LLC CurrentSince Jul 6, 2015 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Dec 28, 2020 Accepting new patients
RCHP - Wilmington LLC CurrentSince Jul 6, 2015 Accepting new patients
Dayton Oncology & Hematology, PA Hematology & Oncology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dayton Physicians, LLC Past Accepting new patients

Locations

803 W Market St
Ste 200
Lima, OH 45805
Phone (419) 222-3737

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

31 Farquhar Ave
Wilmington, OH 45177
Phone (937) 283-2273

Interoperability endpoints

  • Direct secure messaging: macollin@yourcarecommunity.org
  • Direct secure messaging: mcollins835743@direct.bsmhealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1962451021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 E BROAD ST",
            "address_2": "TOWER 13",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051546",
            "telephone_number": "614-257-2900",
            "fax_number": "614-257-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 E BROAD ST",
            "address_2": "TOWER 13",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051546",
            "telephone_number": "614-257-2900",
            "fax_number": "614-257-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35065485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331055",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.