Jack L. Collier
Internal Medicine (Clinical Cardiac Electrophysiology)

Address: 4050 W Memorial Rd, Oklahoma City, OK 73120
Phone: 4056083800

Jack L. Collier (NPI# 1043350275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1043350275
Entity Type Individual
Full Name Jack L. Collier
Credential MD
Gender Male
Practice Address 4050 W Memorial Rd
Oklahoma City
OK 73120
Practice Telephone 4056083800
Practice Fax Number 4056083838
Mailing Address 7800 Nw 85th Ter
Oklahoma City
OK 73132-3385
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-02-07
Last Update Date 2018-06-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0001X Internal Medicine · Clinical Cardiac Electrophysiology Allopathic & Osteopathic Physicians 24868 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 200162400A MEDICAID

Physician Overview

NPI 1043350275
PAC ID by PECOS 3274620240
Professional Enrollment ID I20080806000430
Full Name Jack L Collier
Organization Legal Name OHH PHYSICIANS LLC
Phone Number 4056083800
Gender M
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1999
Primary Specialty CARDIAC ELECTROPHYSIOLOGY
Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Group Practice PAC ID 1759392079
Number of Group Practice Members 121
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370215 OKLAHOMA HEART HOSPITAL, LLC
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370234 OKLAHOMA HEART HOSPITAL SOUTH, LLC
370008 NORMAN REGIONAL
370049 STILLWATER MEDICAL CENTER

Office Location

Street Address 4050 W MEMORIAL RD
City OKLAHOMA CITY
State OK
Zip Code 73120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083617005 Oklahoma Heart Hospital, LLC Internal Medicine 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2005-05-23
1932693520 Natalie Taylor Registered Nurse 4050 W Memorial Rd, Oklahoma City, OK 73120 2018-06-18
1194262261 Ryan Butler Registered Nurse 4050 W Memorial Rd, Oklahoma City, OK 73120 2017-01-26
1639528938 Maya Susan Joseph Registered Nurse 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2016-06-07
1649624495 William Fuchs Nurse Practitioner 4050 W Memorial Rd, Oklahoma City, OK 73120 2016-04-19
1114384534 Rachel Johnston Peck Physician Assistant 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2016-01-16
1275906455 Jessica Keaster Registered Nurse 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2015-11-10
1306214374 Tiffany Hinson Nurse Practitioner 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2015-09-09
1306233176 Amanda Spencer Nurse Practitioner 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2015-04-20
1164844767 Kayla Lucas Physician Assistant 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2014-01-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1013459239 Hefner Chiropractic Pllc Chiropractor 2236 W Hefner Rd, Suite 200, Oklahoma City, OK 73120 2016-11-07
1396296562 Maggie Green Social Worker 12605 Arrowhead Dr, Oklahoma City, OK 73120 2016-10-21
Find all providers in zip 73120

Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770773491 Sean Michael Halleran Internal Medicine 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 2007-07-30
1730380965 Subha Varahan Internal Medicine 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 2007-05-28
1063621381 Coty Wayne Jewell Internal Medicine 5224 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2007-05-22
1265401087 Sunny S Po Internal Medicine 825 Ne 10th St, Oupb 2500, Oklahoma City, OK 73104-5417 2006-03-15
1073582086 Deborah J Lockwood Internal Medicine 825 Ne 10th St, Oupb 2500, Oklahoma City, OK 73104-5417 2006-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013063635 Royce Lee Bargas Internal Medicine 3839 S Boulevard Ste 100, Edmond, OK 73013 2007-01-26
1730673906 Royce L Bargas Do LLC Internal Medicine 3839 S Boulevard Ste 100, Edmond, OK 73013-5580 2018-06-20
1407016694 Siva Kumar R. Soma Internal Medicine 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2008-06-11
1356472583 Craig Steven Cameron Internal Medicine 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2007-03-08
1063541043 Gregory Alexander Cogert Internal Medicine 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 2007-03-05
1902946130 Vikram Katari Internal Medicine 1919 S Wheeling Ave, Ste 504, Tulsa, OK 74104-5638 2007-02-07
1447269725 Joseph J Gard Internal Medicine 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2006-08-05
1922023951 Mark Milton Internal Medicine 1923 S Utica Ave, Tulsa, OK 74104-6520 2006-07-12
1750326682 Heart Rhythm Institute of Oklahoma, P.C. Internal Medicine 6465 S Yale Ave, Suite 202, Tulsa, OK 74136-7822 2006-06-17
1417927815 James A Coman Internal Medicine 6465 S Yale Ave, Suite 202, Tulsa, OK 74136-7823 2006-01-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City OKLAHOMA CITY
Zip Code 73120

Improve Information

Please comment or provide details below to improve the information on Jack L. Collier.

Dataset Information

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.

Trending Searches