DWIGHT D COLLMAN (NPI# 1801035035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801035035 |
| Entity Type | Individual |
| Full Name | DWIGHT D COLLMAN |
| Credential | M.D. |
| Practice Address |
6013 Nw 32nd Way Boca Raton FL 33496-3364 |
| Practice Telephone | 5613058163 |
| Mailing Telephone | 5613058163 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2012-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-122526 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NUMBER | 036-122526 | 01 |
| Street Address |
6013 NW 32ND WAY |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1871067264 | Eloquent Md Fl P.a. | Emergency Medicine | 21218 Saint Andrews Blvd Ste 238, Boca Raton, FL 33433-2435 | 2019-01-18 |
| 1912453432 | Spiritual Growth Therapy Trauma and Wellness Center, LLC | Emergency Medicine | 6773 Boniello Dr, Boca Raton, FL 33496-1546 | 2016-08-26 |
| 1871931634 | Carl James Keldie | Emergency Medicine | 6111 Broken Sound Pkwy Nw, Suite 130, Boca Raton, FL 33487-2774 | 2013-06-13 |
| 1811232390 | William Siegel | Emergency Medicine | 23310 Torre Cir, Boca Raton, FL 33433-7026 | 2012-12-10 |
| 1346362647 | Michael J Margolies | Emergency Medicine | 630 Golden Harbour Dr, Boca Raton, FL 33432-2944 | 2007-04-06 |
| 1003833633 | Mark Anthony Mitchell | Emergency Medicine | 6800 Broken Sound Pkwy Nw, Ste 150a, Boca Raton, FL 33487-5709 | 2006-07-17 |
| 1679523997 | Scott R Willis | Emergency Medicine | 4641 Nw 27th Ave, Boca Raton, FL 33434-5856 | 2006-05-10 |
| 1720057573 | Mark Rosenberg | Emergency Medicine | 4800 N. Federal Hwy., Suite B300, Boca Raton, FL 33431-3409 | 2006-03-15 |
| 1144298571 | Sara S. Levine | Emergency Medicine | 7035 Beracasa Way, Suite 102, Boca Raton, FL 33433 | 2006-03-10 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
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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.