COLLIER NEUROLOGIC SPECIALISTS LLC (NPI# 1871543512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871543512 |
| Entity Type | Organization |
| Organization Name | COLLIER NEUROLOGIC SPECIALISTS LLC |
| Practice Address |
3200 Bailey Ln Ste 200 Naples FL 34105-8523 |
| Practice Telephone | 2392628971 |
| Practice Fax Number | 2392625903 |
| Mailing Telephone | 2392621721 |
| Mailing Fax Number | 2392621045 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | ELAINE GARNER (ADMINISTRATOR) |
| Authorized Official Telephone | 2392628971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 252255100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 Goodlette Rd N, Suite 100, Naples, FL 341025616 | 2392621721 | 2392621045 |
| Street Address |
3200 BAILEY LN STE 200 |
| City | NAPLES |
| State | FL |
| Zip Code | 34105-8523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275583916 | William Andrew Justiz | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-11 |
| 1184142226 | Courtney Kaiser | Physician Assistant | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2017-09-08 |
| 1427416114 | Brett William Mercer | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2016-02-09 |
| 1730294620 | David W Krueger | Physical Medicine & Rehabilitation | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-08-20 |
| 1801819396 | Maria Eugenia Santiago | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-07-25 |
| 1497794762 | Jon E Nelson | Physician Assistant | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-06-05 |
| 1154372167 | Matthew James Baker | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-15 |
| 1659322675 | John David Campbell | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-15 |
| 1821048752 | Gary Paul Colon | Neurological Surgery | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1326198862 | Amanda Weaver | Specialist/Technologist | 1220 Reserve Way, #306, Naples, FL 34105 | 2007-01-10 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770982068 | Integrative Brain Center | Psychiatry & Neurology | 1865 Veterans Park Dr Ste 202, Naples, FL 34109-0447 | 2014-08-22 |
| 1497043269 | Anton Coleman, Munch E. Backen, Pa | Psychiatry & Neurology | 3202 Serenity Ct, #102, Naples, FL 34114-9576 | 2011-07-14 |
| 1396758637 | Sharon Loretta Johnston | Psychiatry & Neurology | 599 9th Street North, Suite 307, Naples, FL 34102 | 2006-08-15 |
| 1194768317 | Neuroscience & Spine Associates | Psychiatry & Neurology | 877 111th Ave North, Suite 1, Naples, FL 34108 | 2006-06-14 |
| 1275583916 | William Andrew Justiz | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-11 |
| 1194703363 | Eshan Malik Kibria | Psychiatry & Neurology | 5475 Golden Gate Pkwy Ste 4, Naples, FL 34116-7529 | 2006-01-06 |
| 1427057371 | Michael J Vickers | Psychiatry & Neurology | 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 | 2005-07-21 |
| 1427057462 | Joseph Kandel | Psychiatry & Neurology | 877 111th Ave N, Suite 1, Naples, FL 34108-1866 | 2005-07-20 |
| 1265439269 | Jeffrey John Mccartney | Psychiatry & Neurology | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2005-07-05 |
| 1316940976 | Ronald E Howard Jr. | Psychiatry & Neurology | 5671 Naples Blvd, Naples, FL 34109-2023 | 2005-05-27 |
| Find all providers in NAPLES | ||||
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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.