DR. COLLIN MARK SCHULTZ (NPI# 1801316096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801316096 |
| Entity Type | Individual |
| Full Name | DR. COLLIN MARK SCHULTZ |
| Credential | DO |
| Practice Address |
11050 Mount Belvedere Boulevard Fort Drum NY 13602-5004 |
| Practice Telephone | 3157741417 |
| Mailing Telephone | 3157741417 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1894 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11050 MOUNT BELVEDERE BOULEVARD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144411596 | Colette Rajner | Family Medicine | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602-5004 | 2007-08-09 |
| 1730518309 | Joseph Steele | Physician Assistant | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602 | 2013-11-05 |
| 1487960332 | Peter Saulius Armanas | Psychiatry & Neurology | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602 | 2010-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346635802 | Christian Petersen Gage | General Practice | 20355 Hangar Access Road, Fort Drum, NY 13602 | 2015-04-01 |
| 1770907867 | Anthony Heidt | General Practice | 10020 Korengal Valley Blvd, 141, Fort Drum, NY 13602-0000 | 2014-02-10 |
| 1366705600 | Quan M Luong | General Practice | 10506 South Riva Ridge Loop, Connor Troop Medical Clinic Bldg 10506, Fort Drum, NY 13602-0000 | 2012-06-21 |
| 1356842363 | Peter E Carr | General Practice | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-02-25 |
| 1326420464 | Ronald Lovich | General Practice | 11050 Mount Belvedere Blvd, Ctmc, Fort Drum, NY 13602-5438 | 2015-06-25 |
| 1881991784 | Erik Scott Johnson | General Practice | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2011-02-12 |
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| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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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.