Dr. Jeremy Douglas Collins
Radiology (Diagnostic Radiology)

Address: 200 1st St Sw, Rochester, MN 55905
Phone: 5072842511

Dr. Jeremy Douglas Collins (NPI# 1922121243) 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) 1922121243
Entity Type Individual
Full Name Dr. Jeremy Douglas Collins
Credential M.D.
Gender Male
Practice Address 200 1st St Sw
Rochester
MN 55905
Practice Telephone 5072842511
Mailing Address 200 1st St Sw
Rochester
MN 55095-0001
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-04-10
Last Update Date 2018-08-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 2085R0204X Radiology · Vascular & Interventional Radiology Allopathic & Osteopathic Physicians 036122774 IL
No 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 036122774 IL
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 64497 MN

Providers with the same name

NPI Name Taxonomy Address Enumeration
1528388204 Jeremy Collins Counselor 1631 E 2nd St Ste D, Austin, TX 78702-4491 2010-06-04
1669659793 Jeremy Giere Collins Physical Medicine & Rehabilitation 1 Mound Ct, Merrimack, NH 03054-4488 2008-01-31
1689870917 Jeremy Heath Collins Emergency Medicine 1968 Peachtree Road Nw, Atlanta, GA 30309 2007-06-24
1811023799 Jeremy Collins Anesthesiology 300 Pasteur Dr, Stanford, CA 94305-2200 2007-02-26

Physician Overview

NPI 1922121243
PAC ID by PECOS 1850569104
Professional Enrollment ID I20110713000041
Full Name Jeremy Douglas Collins
Organization Legal Name NORTHWESTERN MEDICAL FACULTY FOUNDATION
Gender M
Medical School NORTHWESTERN UNIVERSITY MEDICAL SCHOOL
Graduation Year 2004
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY
Group Practice PAC ID 4587576814
Number of Group Practice Members 1892
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140281 NORTHWESTERN MEMORIAL HOSPITAL
240010 MAYO CLINIC HOSPITAL ROCHESTER
140130 NORTHWESTERN LAKE FOREST HOSPITAL

Office Location

Street Address 200 1ST ST SW
City ROCHESTER
State MN
Zip Code 55905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031875 Christine Maria Miller Radiology 200 1st St Sw, Rochester, MN 55905-0001 2005-05-27
1700445327 Megan Alana Zimmerman Spiten Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-6767 2019-06-07
1306404132 Justine Marie Reuter Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-06-05
1174181481 Linda L Huang Pharmacist 200 1st St Sw, Rochester, MN 55905-0001 2019-06-01
1316505738 Ryan W Stevens Pharmacist 200 1st St Sw, Rochester, MN 55905-0002 2019-05-31
1538727839 Karen Darnell Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-05-31
1497313795 Anthony Lascotte Physical Therapist 200 1st St Sw, Rochester, MN 55905-1906 2019-05-31
1891353389 Katie Lynn Smedstad Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-05-30
1518525260 Tanner Cole Earnest Registered Nurse 200 1st St Sw, Rochester, MN 55905-0001 2019-05-29
1508423336 Rachel Marie Svendson Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2019-05-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437554235 Matthew Dunn Nurse Practitioner 200 1st Nw, Rochester, MN 55905 2014-10-23
1326488156 Saul N Friedman Radiology 200 1st St Sw Dept Of, Rochester, MN 55905 2013-06-25
1679837637 Desiree Alaina Mohandas Dermatology 200 First St. Sw, Mayo Clinic, Rochester, MN 55905 2012-06-25
1033482872 Mayo Foundation for Medical Education & Research Durable Medical Equipment & Medical Supplies 200 1st St Sw Ste S148, Rochester, MN 55905 2012-02-09
1871829937 Karen Christine Lundholm Pharmacist 1216 2nd Street Sw, Rochester, MN 55905 2009-10-26
1689800260 Matthew Basiaga Pediatrics 200 1st Ave Ne, Rochester, MN 55905 2009-06-09
1306089610 Elizabeth E. Martin Pathology 200 First Street Sw, Dept of Pathology, Hilton 11 Dlmp, Rochester, MN 55905 2009-04-16
1366680720 Megan H. Nelson Surgery 200 First Street S.w., Rochester, MN 55905 2009-01-23
1639352198 Jill Marie Hunchis Nurse Practitioner 200 First St Sw, Rochester, MN 55905 2007-12-07
1619027265 Thomas Phillip Moyer Specialist/Technologist, Pathology 200 1st Street Southwest, H-730d, Rochester, MN 55905 2007-01-12
Find all providers in zip 55905

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235687088 Jeffery E. Illman Radiology 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 2016-09-21
1326488156 Saul N Friedman Radiology 200 1st St Sw Dept Of, Rochester, MN 55905 2013-06-25
1518209675 Peter Alan Dvorak Radiology 36 Edgemont Rd, Rochester, NY 14620-4520 2013-03-26
1144519992 Daniel C Oppenheimer Radiology 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 2011-04-01
1992094072 Joel P Thompson Radiology 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 2011-03-29
1487860482 Nadia Fatima Yusaf Radiology 2623 South Clinton Ave, Rochester, NY 14618-2623 2007-05-15
1356413470 Man-mei Nadine Su Radiology 1776 11th Ave Ne, Rochester, MN 55906-4215 2006-11-14
1639184377 Arun Basu Radiology 601 Elmwood Ave # 648, Rochester, NY 14642-0001 2006-07-30
1811901135 Devang Butani Radiology 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 2006-07-29
1801822853 Michael Joseph Johnston Radiology 102 Elton Hills Dr Nw, Rochester, MN 55901-3562 2006-06-23
Find all providers in ROCHESTER

Competitor

Search similar providers

City ROCHESTER
Zip Code 55905

Improve Information

Please comment or provide details below to improve the information on Dr. Jeremy Douglas Collins.

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