Basic Information
| Provider Information | |||||||||
| NPI: | 1811930381 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COLLINS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172682353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177655198 | ||||||||
| FaxNumber: | 7177653422 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2006 | ||||||||
| LastUpdateDate: | 01/07/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD428795 | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 2165771 | 01 | PA | MAMSI | OTHER | P00377939 | 01 | PA | RAILROAD MEDICARE | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | CO1863392 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 1561666 | 01 | PA | GATEWAY | OTHER | 4675050 | 01 | PA | AETNA NON-HMO | OTHER | PEARL | 01 | PA | HEALTH AMERICA | OTHER | 1286122 | 01 | PA | AETNA HMO | OTHER | 186189 | 01 | PA | UNISON | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 50085308 | 01 | PA | CAPITAL BLUECROSS | OTHER | G920-0049/85XWCU | 01 | PA | CAREFIRST | OTHER | MD428795 | 01 | PA | LICENSE | OTHER | 101614249 0001 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 986804 | 01 | PA | FIRST HEALTH | OTHER | AC2145399 | 01 | PA | DEA | OTHER | 120420412 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 25-1716306 | 01 | PA | HEALTHNET./TRICARE | OTHER | 050514 | 01 | PA | MEDICARE GROUP # | OTHER |