DR. KIMBERLY JANE COLLINS (NPI# 1336178805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336178805 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY JANE COLLINS |
| Credential | MD |
| Practice Address |
15100 N 593 Rd Tahlequah OK 74464-1911 |
| Practice Telephone | 9188223302 |
| Mailing Telephone | 9184539154 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C8113 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 3118113 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980102 | Kimberly Collins | Midwife | 300 Becca Dr, Rolla, MO 65401-8463 | 2020-04-14 |
| 1821521444 | Kimberly Rene Collins | Massage Therapist | 2634 W John Beers Rd, Stevensville, MI 49127-1213 | 2017-04-10 |
| 1083158836 | Kimberly Rae Collins | Physical Therapist | 700 Carnation Ave Ste E, Corona Del Mar, CA 92625-2061 | 2016-12-13 |
| 1821464967 | Kimberly Marie Collins | Social Worker | 2824 Dauphine St, New Orleans, LA 70117-7324 | 2015-08-12 |
| 1235522947 | Kimberly Dixon Collins | Occupational Therapist | 5028 Shannon Way Sw, Mableton, GA 30126-1735 | 2015-03-05 |
| 1992069645 | Kimberly Ann Collins | Licensed Vocational Nurse | 6646 Orange Ave Unit 120, Long Beach, CA 90805-1565 | 2012-06-27 |
| 1033343728 | Kimberly Rochelle Collins | Family Medicine | 2711 Murfreesboro Pike Ste 201, Antioch, TN 37013-2000 | 2009-05-08 |
| 1720061815 | Kimberly A Collins | Emergency Medicine | Tampa General Hospital, One Davis Blvd, Tampa, FL 33601 | 2005-11-22 |
| 1104470996 | Kimberly Collins | Social Worker | 5900 W Chester Rd Ste C, West Chester, OH 45069-2951 | 2019-07-30 |
| 1891261343 | Kimberly Collins | Licensed Vocational Nurse | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2018-10-22 |
| Street Address |
15100 N 593 RD |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114447984 | Austin Tanner Brookover | Emergency Medicine | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2017-06-22 |
| 1598175309 | Stephn Drywater | Emergency Medicine | 100 S Bliss Ave, Tahlequah, OK 74464 | 2014-05-01 |
| 1457574170 | Northeastern Health System | Emergency Medicine | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2007-04-11 |
| 1215028816 | Brian William Duignan | Emergency Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2006-09-27 |
| 1417058215 | Nanetta Bonita Lowe | Emergency Medicine | 100 S Bliss Ave, Tahlequah, OK 74464 | 2006-09-26 |
| 1003865999 | Northeastern Health System | Emergency Medicine | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2006-05-08 |
| 1063497931 | Stephan M Yost | Emergency Medicine | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323891 | Derek C Hill | Emergency Medicine | 901 N Porter Avenue, Norman, OK 73071-6404 | 2020-07-17 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1427693399 | Johnnie Lee Gilpen Jr. | Emergency Medicine | 7997 Alfadale St, Union City, OK 73090-6615 | 2019-11-14 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1376052381 | Catherine Loeffler | Emergency Medicine | 1609 Breckenridge Dr, Edmond, OK 73013-7667 | 2017-09-21 |
| 1295256162 | Andrew Phillips | Emergency Medicine | 901 N Porter Ave Ofc, Norman, OK 73071-6404 | 2017-06-30 |
| 1801329958 | Alicia Claire Hubbell | Emergency Medicine | Integris Canadian Valley Hospital, 1201 Health Center Parkway, Yukon, OK 73099-6381 | 2017-04-06 |
| 1477002277 | Marianne Bacharach, Md, Pllc | Emergency Medicine | 1905 Nw 56th Ter, Oklahoma City, OK 73118-1409 | 2016-09-22 |
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1811359607 | Healthcare Stat of Anadarko Inc | Emergency Medicine | 1503 S Mission St, Suite A, Anadarko, OK 73005-5815 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
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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.