Robert S Collins, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Jasper, TN
NPI 1982602504 · NPPES record last updated Sep 24, 2009
Key facts
- NPI
- 1982602504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD 16256 (TN)
- Practice address
- 980 Highway 28
Ste 102
Jasper, TN 37347-3695 - Phone
- (423) 942-2851
- Fax
- (423) 942-3049
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510001600 | SD | Practitioner - Orthopedic Surgery | 8628043866 | Reassigns benefits to 1 organization |
| I20160830000451 | MN | Practitioner - Orthopedic Surgery | 8628043866 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Southern Tennessee Orthopaedic & Hand Surgery, PLLC | Orthopaedic Surgery | Past |
Accepting new patients |
Locations
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD 16256 | TN | Yes |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD 16256 | TN |
Addresses
Primary practice location
980 Highway 28
Ste 102
Jasper, TN 37347-3695
Mailing address
980 Highway 28
Suite 102
Jasper, TN 37347-3695
Phone (423) 942-2851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3840679 | Medicaid | TN | |
| 4081720 | Other | TN | BLUE CROSS BLUE SHIELD |
| 4232629 | Other | TN | BLUECROSSBLUESHIELD |
| 38406791 | Other | TN | MEDICARE TYPE UNSPECIFIED |
Other providers in Jasper, TN
- Damieon Brown
- Sue Marie Bushrow
- Tonya Marie Carter
- Lindsey Cash
- Chastain Family Chiropractic
- Consultants in Pain Management, PC
- Cyrus Family Medical Center
- Shane Daly
- Scott Eugene Desjarlais
- Dialysis Clinic Inc.
All providers in Jasper, TN · Orthopaedic Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.