DAVID M COLLINS (NPI# 1548320302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548320302 |
| Entity Type | Individual |
| Full Name | DAVID M COLLINS |
| Credential | PA-C |
| Practice Address |
450 Tatone Street Boardman OR 97818 |
| Mailing Address |
Po Box 397 Boardman OR 97818 |
| Practice Telephone | 5414817212 |
| Practice Fax Number | 5414812020 |
| Mailing Telephone | 5414817212 |
| Mailing Fax Number | 5414812020 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01149 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227616 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1427399534 | David Ray Collins | Family Medicine | 642 Community Beach Rd, Centralia, IL 62801-8210 | 2013-03-14 |
| 1780921544 | David N Collins | Pharmacist | 4050 65th Pl E, Sarasota, FL 34243-7968 | 2013-01-13 |
| 1821357344 | David Collins | Pharmacist | 13651 Dublin Ct, Stafford, TX 77477-4317 | 2012-05-04 |
| 1932397403 | David Michael Collins | Dentist | 3.5 Miles South On Fm 2054, Tennessee Colony, TX 75886-0001 | 2007-10-10 |
| 1821201906 | David F Collins | Pharmacist | 570 Newark Ave, Jersey City, NJ 07306-2302 | 2007-05-07 |
| 1609094598 | David F Collins | Prosthetic/Orthotic Supplier | 657 S Memorial Dr, Greenville, NC 27834-2856 | 2007-04-23 |
| 1962528729 | David E Collins | Chiropractor | 3443 Pine Ridge Rd, Naples, FL 34109-3926 | 2007-03-22 |
| 1487779856 | David Foster Collins Jr. | Chiropractor | 6257 Old Dominion Dr, Mclean, VA 22101-4821 | 2007-03-21 |
| 1922142074 | David Nathan Collins | Dentist | 302 Jacobs Hwy Ste B, Clinton, SC 29325-9403 | 2007-02-19 |
| Street Address |
450 TATONE STREET |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900646 | Robert J Boss | Internal Medicine | 450 Tatone Street, Boardman, OR 97818 | 2005-08-30 |
| 1710084140 | Columbia River Health | Clinic/Center | 450 Tatone Street, Boardman, OR 97818 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| Find all providers in zip 97818 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003397654 | Alex John Polenick | Physician Assistant | 1499 Boardman Canfield Rd, Boardman, OH 44512-4008 | 2018-08-22 |
| 1891161196 | Allison Pauly | Physician Assistant | 910 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID M COLLINS.
| 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.