DR. SIOBHAN COLLINS (NPI# 1790888584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790888584 |
| Entity Type | Individual |
| Full Name | DR. SIOBHAN COLLINS |
| Credential | MD |
| Practice Address |
499 Farmington Ave Suite 230 Farmington CT 06032-1943 |
| Practice Telephone | 8606761900 |
| Practice Fax Number | 8604090602 |
| Mailing Telephone | 8606761900 |
| Mailing Fax Number | 8604090602 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 040694 | CT | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
040694 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD | P4433843 | 01 |
| CT | CIGNA | 1047826 | 01 |
| CT | CONNECTICARE | 040694 | 01 |
| CT | UNITED HEALTHCARE | 2458330 | 01 |
| CT | AETNA | 7434428 | 01 |
| CT | ANTHEM BCBS | 010040694CT05 | 01 |
| Street Address |
499 FARMINGTON AVE SUITE 230 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095225 | Ursula Steadman | Obstetrics & Gynecology | 499 Farmington Ave, Suite 220, Farmington, CT 06032-1943 | 2005-06-30 |
| 1548895196 | Francis Blanco | Technician/Technologist | 499 Farmington Ave, Farmington, CT 06032-1943 | 2020-03-04 |
| 1770008971 | Jennifer Nicole Mcdonough | Clinic/Center | 499 Farmington Ave, Farmington, CT 06032-1943 | 2017-08-08 |
| 1558756916 | Sabrina Claudio | Occupational Therapist | 499 Farmington Ave, Suite 301, Farmington, CT 06032-1943 | 2015-04-02 |
| 1669879557 | Thomas Kassan | Physical Therapist | 499 Farmington Ave, 3rd Floor, Farmington, CT 06032-1943 | 2014-11-21 |
| 1942616636 | Emilie Mojica | Optometrist | 499 Farmington Ave, Suite 100, Farmington, CT 06032-1943 | 2014-07-02 |
| 1023371549 | Nicholas Stephen Karter | Otolaryngology | 499 Farmington Ave, Farmington, CT 06032 | 2012-06-19 |
| 1396005419 | Daniel Kensinger Witmer | Orthopaedic Surgery | 499 Farmington Ave, Farmington, CT 06030-1920 | 2012-05-22 |
| 1710246772 | Michael Koval | Ophthalmology | 499 Farmington Ave, Suite 100, Farmington, CT 06032-1943 | 2012-05-11 |
| 1487985586 | Beth Morin | Physical Therapist | 499 Farmington Ave, Farmington, CT 06032-1943 | 2010-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003290156 | Forefront Dermatology, S.c. | Dermatology | 1223 Maple St, Farmington, MO 63640 | 2015-07-17 |
| 1588859946 | Dermatology Surgical Associates, LLC | Dermatology | 499 Farmington Ave, Suite 230, Farmington, CT 06032-1933 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376575324 | John R. West Md Inc | Dermatology | 34 Water St, Suite 2, Mystic, CT 06355-2524 | 2006-07-07 |
| 1497795314 | Barry J Richter | Dermatology | 5 Durham Road, Guilford, CT 06437 | 2006-06-08 |
| 1437198702 | Andrew M Herbst | Dermatology | 13 Park St, Norwalk, CT 06851-4811 | 2006-06-05 |
| 1013263847 | Connecticut Skin Institute | Dermatology | 999 Summer St, Suite 205, Stamford, CT 06905-5546 | 2012-07-30 |
| 1487606117 | John Robert West Jr. | Dermatology | 34 Water Street, Suite 2, Mystic, CT 06355 | 2006-05-17 |
| City | FARMINGTON |
| Zip Code | 06032 |
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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.