PHILIP J COLLETIER (NPI# 1760569412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760569412 |
| Entity Type | Individual |
| Full Name | PHILIP J COLLETIER |
| Credential | MD |
| Practice Address |
411 Laurel St Suite C100 Des Moines IA 50314-3017 |
| Mailing Address |
1055 6th Ave Suite 200 Des Moines IA 50314-2607 |
| Practice Telephone | 5156435168 |
| Mailing Telephone | 5156438672 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
27802 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK OF IOWA | 40915 | 01 |
| IA | 1167379 | 05 |
| Street Address |
411 LAUREL ST SUITE C100 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104593 | Diagnostic & Critical Care Medicine | Internal Medicine | 411 Laurel St, Ste 3275, Des Moines, IA 50314-3027 | 2005-06-20 |
| 1194292979 | Lindsey Kay Bruns | Nurse Anesthetist, Certified Registered | 411 Laurel St, Des Moines, IA 50314-3017 | 2018-10-30 |
| 1013458074 | Wendy Sontag | Social Worker | 411 Laurel St, Suite 2380, Des Moines, IA 50314-3017 | 2017-03-10 |
| 1437696705 | Maura Eileen Schaefer | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2017-01-25 |
| 1265891154 | Shannon Becker | Nurse Practitioner | 411 Laurel St, Suite 3310, Des Moines, IA 50314-3017 | 2016-02-19 |
| 1104295823 | Medical Oncology & Hematology Associates Ptrshp | Internal Medicine | 411 Laurel St, Suite 300a, Des Moines, IA 50314-3017 | 2015-09-23 |
| 1073996138 | Colorado Chiropractic and Sports Injury Center, LLC | Chiropractor | 411 Laurel St, Suite 2380, Des Moines, IA 50314-3017 | 2015-07-07 |
| 1821475534 | Michelle Elizabeth Krupski | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2015-05-01 |
| 1124422142 | Athletico Ltd | Occupational Therapist | 411 Laurel St, Suite 1300, Des Moines, IA 50314-3017 | 2014-10-20 |
| 1598168437 | Alohalani Taylor | Nurse Practitioner | 411 Laurel St, Des Moines, IA 50314-3017 | 2014-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861871105 | Samuel Schroeder | Radiology | 1221 Pleasant St Ste A100, Des Moines, IA 50309-1428 | 2015-05-19 |
| 1518207422 | Mercy Clinics, Inc | Radiology | 411 Laurel St, Suite C100, Des Moines, IA 50314-3017 | 2013-03-01 |
| 1144549015 | Sarah Anne Mcavoy | Radiology | 411 Laurel St, Suite C-100, Des Moines, IA 50314-3017 | 2010-05-18 |
| 1407082712 | Arshin Sheybani | Radiology | 1221 Pleasant St, Suite A100, Des Moines, IA 50309-1423 | 2009-06-02 |
| 1750569711 | Central Iowa Hospital Corporation | Radiology | 1221 Pleasant St, Suite A100, Des Moines, IA 50309-1423 | 2008-02-01 |
| 1619197464 | Robert John Isaak | Radiology | 1221 Pleasant St, Suitet A100, Des Moines, IA 50309-1428 | 2007-04-26 |
| 1508084765 | Dev Puri | Radiology | 411 Laurel St, Suite C100, Des Moines, IA 50314-3017 | 2007-04-23 |
| 1467511857 | Mercy Therapeutic Radiology Associates LLC | Radiology | 411 Laurel St, Suite C 100, Des Moines, IA 50314-3017 | 2006-12-08 |
| 1699852368 | John M Martens | Radiology | 411 Laurel St, Suite C100, Des Moines, IA 50314-3017 | 2006-11-01 |
| 1255418059 | Richard L Deming | Radiology | 411 Laurel St, Suite C100, Des Moines, IA 50314-3017 | 2006-11-01 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on PHILIP J COLLETIER.
| 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.