DR. ANDREW JOHN COLLINS (NPI# 1023011830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023011830 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOHN COLLINS |
| Credential | M.D. |
| Practice Address |
530 S Jackson St # C07 Louisville KY 40202-1675 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5028525875 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
TP506 | KY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD448760 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417218926 | Andrew Bernard Collins | Anesthesiology | 3333 Burnet Ave # Mlc4009, Cincinnati, OH 45229-3026 | 2012-05-31 |
| 1205923737 | Andrew Richard Collins | Podiatrist | 17021 Old Orchard Rd, Suite 3, Lewes, DE 19958-4832 | 2006-10-06 |
| 1376150342 | Andrew Collins | Physical Medicine & Rehabilitation | 2798 Yulupa Ave Ste 1, Santa Rosa, CA 95405-8570 | 2020-09-24 |
| 1255982799 | Andrew Collins | Behavior Technician | 1300 Ethan Way, Sacramento, CA 95825-2211 | 2019-09-26 |
| 1447809686 | Andrew Collins | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2019-09-10 |
| 1003373705 | Andrew Collins | Behavior Technician | 600 N Jackson St Ste 203, Media, PA 19063-2574 | 2019-02-28 |
| 1568954501 | Andrew Collins | Family Medicine | 415 W Columbia St Ste 110, Evansville, IN 47710-1656 | 2018-06-05 |
| 1265968770 | Andrew Bryant Collins | Nurse Practitioner | 831 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-05-03 |
| 1598112948 | Andrew Alan Collins | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2016-05-16 |
| 1255731873 | Andrew Collins | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-02 |
| Street Address |
530 S JACKSON ST # C07 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568805406 | Bryan Jeremy Glaenzer | Radiology | 530 S Jackson St # C07, Louisville, KY 40202 | 2013-04-10 |
| 1245582113 | Nana Yaw Ohene-baah | Internal Medicine | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2012-10-02 |
| 1609194596 | Christina Blume Clark | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2010-05-17 |
| 1316108749 | Mohiuddin Hadi | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2008-06-18 |
| 1669639605 | Brian Louis Mattingly | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2008-05-19 |
| 1639200207 | Judith K. Merchant | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2007-03-08 |
| 1538118468 | Richard Keith Downs | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2006-05-08 |
| 1972551315 | Kayiguvwe O Kragha | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2006-05-05 |
| 1992753966 | Jarred J Thomas | Emergency Medicine | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2006-05-04 |
| 1790770337 | Sheereen Laura Azimpoor | Radiology | 530 S Jackson St # C07, Louisville, KY 40202-1675 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730541046 | Michael Daniel Dahle | Radiology | 530 S Jackson St # St-c07, Louisville, KY 40202-1675 | 2016-03-25 |
| 1881031680 | Breckenridge Medical Group, Psc | Radiology | 974 Breckenridge Ln, Suite 133, Louisville, KY 40207-4619 | 2013-06-03 |
| 1073767737 | Blue Grass Diagnostics | Radiology | 820 S. 6th St, Louisville, KY 40203 | 2008-11-07 |
| 1336302462 | Ryan Patrick Currier | Radiology | 222 S 1st St Ste 501, Louisville, KY 40202-5302 | 2008-07-09 |
| 1477714822 | Christopher Dale Henley | Radiology | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2008-06-18 |
| 1871778720 | Alexander Ding | Radiology | 530 S Jackson St Ste C07, Louisville, KY 40202-1675 | 2008-01-09 |
| 1114114931 | Melissa Hite Potts | Radiology | 234 E Gray St Ste 850, Louisville, KY 40202-1901 | 2007-09-25 |
| 1245432079 | Bradley L. Williams | Radiology | 234 E. Gray Street, Suite 850, Louisville, KY 40202-1901 | 2007-06-04 |
| 1124158001 | Vaclav I Pokorny | Radiology | 1606 Two Springs Place, Louisville, KY 40207-2375 | 2007-03-07 |
| 1336270057 | Amanda Weckman Carricato | Radiology | 4915 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2860 | 2007-03-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.