NPIMap

Organization Active NPI

Francis J. Collini, MD, Facs, P.C.

  • Plastic Surgery Physician
  • Shavertown, PA
National Provider Identifier
1982846903
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
044972E Issued in PA
Legal business name
FRANCIS J. COLLINI, MD, FACS, P.C.
Practice address
1845 Memorial Hwy
Shavertown, PA 18708-1482
Phone
(570) 674-6525
Fax
(570) 674-6520
NPI assigned
Apr 6, 2009
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Mrs. Susan J. Collini, CASC RT RDMS, RDCS
Title
Administrator
Phone
(570) 674-6525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 044972E PA Primary

Addresses

Primary practice location

1845 Memorial Hwy
Shavertown, PA 18708-1482

Mailing address

1845 Memorial Hwy
Shavertown, PA 18708-1482
Phone (570) 674-6525

Other identifiers 4

IdentifierTypeStateIssuer
073412OtherPAFIRST PRIORITY
580391OtherPABC/BS
001458571MedicaidPA
240003566OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090617000120 PA Part B Supplier - Clinic/Group Practice 8729138599 Receives reassigned benefits from 1 practitioner
Practice locations: Shavertown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1982846903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081482",
            "telephone_number": "570-674-6525",
            "fax_number": "570-674-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081482",
            "telephone_number": "570-674-6525",
            "fax_number": "570-674-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS J. COLLINI, MD, FACS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "COLLINI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-674-6525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASC RT RDMS, RDCS"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "044972E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "073412",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "580391",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001458571",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240003566",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.