SAMUEL BROWN COLLINS


Address: 4402 Shipyard Blvd, Wilmington, NC 28403-6161
Phone: 9104521400

SAMUEL BROWN COLLINS (NPI# 1669477055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669477055
Entity Type Individual
Full Name SAMUEL BROWN COLLINS
Credential MD
Practice Address 4402 Shipyard Blvd
Wilmington
NC 28403-6161
Practice Telephone 9104521400
Practice Fax Number 9103321072
Mailing Telephone 9104521400
Mailing Fax Number 9103321072
Enumeration Date 2005-06-14
Last Update Date 2009-11-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 9400758 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8912191 05
NC MEDCOST B4543 01
NC BCBS 12191 01
NC RAILROAD MEDICARE 930077053 01
NC RAILROAD MEDICARE 930084654 01
SC Q0075F 05
NC UNITED HEALTHCARE 01-28698 01

Other Providers SAMUEL COLLINS

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1144763749 Samuel Collins Dentist 205 Demonbreun St Apt 1503, Nashville, TN 37201-2347 2016-11-30
1447294996 Samuel Deon Collins Dentist 19404 Morris Ave, Manvel, TX 77578 2006-06-15
1912373630 Samuel Collins Physical Therapy Assistant 160 Riverside Dr, Augusta, ME 04330-4162 2015-08-17
1225107089 Samuel L Collins Physician Assistant 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2006-11-07

Office Location

Street Address 4402 SHIPYARD BLVD
City WILMINGTON
State NC
Zip Code 28403-6161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952305617 Samuel Sherman Spicer Family Medicine 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2005-06-10
1992165336 Tara Rector Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2016-02-27
1659730091 James Ryan O'reilly Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2016-02-13
1144687708 Eric Dustin Morgan Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2016-01-26
1851781439 Kristen Heffelfinger Wilson Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2015-02-03
1912341868 Matthew Paul Geib Emergency Medicine 4402 Shipyard Blvd, Ecep II, Wilmington, NC 28403-6161 2013-04-23
1417273624 Carrie Fales Emergency Medicine 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2010-04-13
1235464017 Joseph Dixon Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2009-10-12
1073742235 James Arthur Helm Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2009-07-09
1750555629 Joshua Ward Sawyer Emergency Medicine 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2008-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558755165 Ecep II Pa Emergency Medicine 151 Scotts Hill Medical Drive, Wilmington, NC 28411-9999 2015-03-20
1629393574 Brian James Mcgrath Jr. Emergency Medicine Eastern Carolina Emergency Physicians, 4402 Shipyard Boulevard, Wilmington, NC 28403 2010-04-05
1821261819 Pearlie Bradford Watkins IIi Emergency Medicine 4402 Shipyard Blvd., Eastern Carolina Emergency Physicians, Wilmington, NC 28403 2008-04-10
1124225057 Vein Specialists of North Carolina, Pa Emergency Medicine 6752 Rock Spring Road, Suite #200, Wilmington, NC 28405 2007-07-03
1255450417 James K. Bouzoukis Emergency Medicine 111 Wayland Rd, Wilmington, DE 19807-2529 2007-03-28
1164571907 Heather M Schulte Emergency Medicine 488 Ireland Rd, Wilmington, OH 45177-9706 2007-01-10
1992871917 Ecep II Pa Emergency Medicine 5301 Wrightsville Ave, Wilmington, NC 28403-6510 2006-11-28
1194824177 Vijay Ramchandra Randive Emergency Medicine 6932j Market Street, Wilmington, NC 28411 2006-09-22
1538195540 Ronald Charles Demas Emergency Medicine 608 Dawson Street, Suite 101, Wilmington, NC 28401 2006-06-23
1760439038 Shashikala J Patel Emergency Medicine 7th and Clayton Streets, Wilmington, DE 19805 2006-05-30
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

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.

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