GREGORY COLLINS (NPI# 1770654089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770654089 |
| Entity Type | Individual |
| Full Name | GREGORY COLLINS |
| Credential | MD |
| Practice Address |
6810 State Route 162 Ste 215 Maryville IL 62062-8501 |
| Mailing Address |
1836 Lackland Hill Pkwy Credentialing Department Saint Louis MO 63146-3572 |
| Practice Telephone | 6182885711 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036079652 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036079652002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992232748 | Gregory Collins | Pharmacist | 39575 Washington St Ste 103, Palm Desert, CA 92211-4152 | 2017-05-11 |
| 1376929075 | Gregory Alan Collins | Specialist/Technologist | 1834 Wake Forest Dr, Reynolds Gym Rm 106, Winston Salem, NC 27109-6000 | 2015-08-04 |
| 1922376078 | Gregory A Collins | Physical Therapist | 848 1st Ave N, Suite 120, Naples, FL 34102-6013 | 2011-12-05 |
| 1376677955 | Gregory Blaine Collins | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2007-03-15 |
| 1821169533 | Gregory Collins | Physical Therapist | 700 Main St, Wray, CO 80758-1739 | 2006-11-13 |
| 1043229065 | Gregory C Collins | Internal Medicine | 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 | 2006-08-07 |
| 1700810488 | Gregory Collins | Internal Medicine | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2006-07-10 |
| 1609833748 | Gregory Collins | Emergency Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2006-05-01 |
| 1851357115 | Gregory B Collins | Psychiatry & Neurology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-04-25 |
| 1740244672 | Gregory James Collins | Emergency Medicine | 400 N Main St, Warsaw, NY 14569-1025 | 2006-04-17 |
| Street Address |
6810 STATE ROUTE 162 STE 215 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009943 | Mark Stephen Fedder | Internal Medicine | 6810 State Route 162, Suite 211, Maryville, IL 62062-8501 | 2005-08-02 |
| 1003295213 | Msa Alliance, LLC Dba-southern Illinois Vascular and Vein Surgery | Surgery | 6810 State Route 162, Suite 100, Maryville, IL 62062 | 2015-05-20 |
| 1467867234 | Premier Foot and Ankle of Illinois, PC | Podiatrist | 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | 2014-06-30 |
| 1043521719 | Gabriel Cardenas Jr. | Podiatrist | 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | 2010-06-28 |
| 1780818831 | Patricia Renee Verdu | Registered Nurse | 6810 State Route 162, Maryville, IL 62062-8501 | 2009-05-04 |
| 1518143254 | James J. Dalla Riva, Md, PC | Specialist | 6810 State Route 162, Suite 301, Maryville, IL 62062-8501 | 2008-01-11 |
| 1184806101 | Mark Fedder, Md, PC | Internal Medicine | 6810 State Route 162, Suite 211, Maryville, IL 62062-8501 | 2007-11-30 |
| 1518178730 | Melissa Ann Kershaw | Internal Medicine | 6810 State Route 162, Ste 102, Maryville, IL 62062-8501 | 2007-05-28 |
| 1710009840 | James W. Lane | Psychologist | 6810 State Route 162, Suite 215, Maryville, IL 62062-8501 | 2007-04-06 |
| 1245373489 | Fairview Heights Medical Group Sc | Internal Medicine | 6810 State Route 162, Suite 203, Maryville, IL 62062-8501 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1326482977 | Darren Wrede | Anesthesiology | 2016 S Main St, Maryville, MO 64468 | 2013-04-25 |
| 1376862045 | Denise Liyana Charlton | Anesthesiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2010-05-20 |
| 1861624975 | Ilijas Gusmirovic | Anesthesiology | 6800 State Route 162, Maryville, IL 62062-8500 | 2009-08-23 |
| 1619132560 | Stuart Krein | Anesthesiology | 114 E South Hills Dr, Maryville, MO 64468-2659 | 2008-07-21 |
| 1457535288 | Wasif Almuttar,md,anes.svc.,p.c. | Anesthesiology | 2016 S Main St, Maryville, MO 64468-2655 | 2007-12-28 |
| 1952472003 | Human Utilization Experts Network, LLC | Anesthesiology | 2023 Vadalabene Dr, Suite 300, Maryville, IL 62062-5630 | 2006-11-12 |
| 1851462063 | Mahmood Qalbani | Anesthesiology | 6810 State Route 162, Ste 215, Maryville, IL 62062-8501 | 2006-11-10 |
| 1942317920 | Gaelan Burns Luhn | Anesthesiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804 | 2006-08-24 |
| 1720028178 | Eric Maass | Anesthesiology | 2016 S Main St, Maryville, MO 64468-2655 | 2006-06-07 |
| 1710932439 | Ty Ann Heath | Anesthesiology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-05-23 |
| Find all providers in MARYVILLE | ||||
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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.