BRANSON J COLLINS (NPI# 1588096804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588096804 |
| Entity Type | Individual |
| Full Name | BRANSON J COLLINS |
| Credential | MD |
| Practice Address |
4424 E Flamingo Ave Nampa ID 83687-9289 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083023760 |
| Mailing Telephone | 2084635290 |
| Mailing Fax Number | 2083677667 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | M-12516 | ID | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 25MA09338300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
M-12516 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1524 12 Ave Road, Nampa, ID 83686 | 2084635290 | 2083677667 |
| Street Address |
4424 E FLAMINGO AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-9289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339618 | Randolph C Byrd | Internal Medicine | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2005-10-11 |
| 1154840270 | Emma Nelson | Physical Therapist | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2017-09-11 |
| 1750839502 | Boyd Layton | Physician Assistant | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9289 | 2016-09-21 |
| 1386191500 | Tarasue C Maness | Nurse Practitioner | 4424 E Flamingo Ave, Ste 310, Nampa, ID 83687 | 2016-09-06 |
| 1477932523 | Steen Edwards | Physical Therapist | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2015-05-22 |
| 1477949261 | John Lattin | Physical Medicine & Rehabilitation | 4424 E Flamingo Ave, Suite 310, Nampa, ID 83687 | 2015-04-08 |
| 1588084453 | Jeffery Reese | Obstetrics & Gynecology | 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2014-04-18 |
| 1033473285 | Purushothaman Muthusamy | Internal Medicine | 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 | 2012-07-02 |
| 1639214216 | Tosha Jo Johnson | Nurse Practitioner | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2007-02-21 |
| 1053467852 | Linda Kay Walker | Obstetrics & Gynecology | 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235472531 | Eli J Harris | Anesthesiology | 4424 E Flamingo, Ste 310, Nampa, ID 83687 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1114171519 | Advanced Pain Management Pllc | Anesthesiology | 2275 So Eagle Rd, Sute 160, Meridian, ID 83642 | 2008-11-11 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| 1801143029 | Teton Valley Health Care, Inc | Anesthesiology | 83 N Main St, Victor, ID 83455-0368 | 2012-08-07 |
| 1154681633 | Daric J Russell | Anesthesiology | 3385 Potomac Way, Idaho Falls, ID 83404-4978 | 2012-05-18 |
| 1992070809 | Pain Specialists of Idaho | Anesthesiology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2012-03-12 |
| 1669785192 | Wind River Pain Management Pllc | Anesthesiology | 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 | 2010-07-26 |
| 1629227616 | Prashanth Sirigere Manjunath | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2008-09-15 |
| 1366622300 | Cornerstone Anesthesia Pa | Anesthesiology | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-07 |
| 1649460130 | Bmh, Inc. | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-31 |
| 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.