ELBERT C COLLINS MD (NPI# 1730441023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730441023 |
| Entity Type | Organization |
| Organization Name | ELBERT C COLLINS MD |
| Practice Address |
18173 Redwood Hwy Selma OR 97538 |
| Mailing Address |
726 Nw Bellevue Pl Grants Pass OR 97526 |
| Practice Telephone | 5415972464 |
| Practice Fax Number | 5415974280 |
| Mailing Telephone | 5414799484 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | ELBERT C COLLINS (OWNER/ DOCTOR) |
| Authorized Official Telephone | 5414799484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD14732 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
18173 REDWOOD HWY |
| City | SELMA |
| State | OR |
| Zip Code | 97538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767103 | Katherine Mechling | Family Medicine | 18173 Redwood Hwy, Selma, OR 97538-9732 | 2005-08-19 |
| 1912462144 | Earth Song Medical Practice LLC | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538 | 2019-02-01 |
| 1588046064 | Daniel Hagerty | Nurse Practitioner | 18173 Redwood Hwy, Po Box 847, Selma, OR 97538-1257 | 2015-06-22 |
| 1003128729 | Barbara Braunstein | Massage Therapist | 18173 Redwood Hwy, Selma, OR 97538 | 2010-07-10 |
| 1861681967 | Katherine Mechling | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538-0847 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871810580 | Lacy M Miller | Registered Nurse | 1874 Lakeshore Dr., Selma, OR 97538 | 2010-04-21 |
| 1245531664 | Peggie Meredith Harris | Physical Therapist | 18255 Redwood Hwy, Selma, OR 97538 | 2010-11-17 |
| 1447420674 | Jacqueline T. Farless | Contractor | 5616 Lake Shore Dr, Selma, OR 97538-9711 | 2008-03-04 |
| 1386740736 | Kay Nielson Pta LLC | Clinic/Center | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2006-09-15 |
| 1063653046 | Kay Marie Nielson | Massage Therapist | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2009-03-20 |
| 1295855831 | Kailua Naoni Long | Dental Hygienist | 1360 Mcmullen Creek Rd, Selma, OR 97538-9749 | 2007-03-29 |
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1780021899 | Grapevine Womens Health and Gynecology, LLC | Obstetrics & Gynecology | 5880 Ne Cornell Rd Ste C, Hillsboro, OR 97124-9075 | 2013-05-30 |
| 1861717290 | Richard Malcolm Thorne | Obstetrics & Gynecology | 1295 Victoria Falls Dr, Redmond, OR 97756-8287 | 2010-03-29 |
| 1194975078 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1730 E. 12th St, The Dalles, OR 97058 | 2008-09-26 |
| 1477729754 | Lithia Women's Healthcare LLC | Obstetrics & Gynecology | 725 N. Main St., Ashland, OR 97520-1752 | 2008-05-06 |
| 1164695953 | Leonard Laskow | Obstetrics & Gynecology | 1939 Tamarack Pl, Ashland, OR 97520-3542 | 2008-04-11 |
| 1164600243 | Northwest Gynecology Associates,llc | Obstetrics & Gynecology | 4660 Ne Belknap Ct Ste 109, Hillsboro, OR 97124-8402 | 2008-01-31 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
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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.