JACK L. COLLIER MD – NPI #1043350275
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

JACK COLLIER is a physician located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1043350275 to JACK COLLIER on February 07, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Clinical Cardiac Electrophysiology

The NPI profile was previously updated about 4 years ago on Jun 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK COLLIER below.

NPI Profile for
JACK L. COLLIER

NPI Number
1043350275
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK L. COLLIER
Credentials
MD
Primary location
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120-8382
Phone: (405) 608-3800 Fax: (405) 608-1240
Mailing address
7800 NW 85TH TER
OKLAHOMA CITY, OK 73132-3385
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACK COLLIER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200162400A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology (Primary)		 OK 24868

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT ADDRESS
Content Type
CSV
Affiliation
N
Endpoint Location
4050 W MEMORIAL RD FL 3,
OKLAHOMA CITY, OK 77025-1669

Additional Information

Education
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK COLLIER is affiliated with the following medical group(s):
  • HOSPITAL
    • ALLIANCEHEALTH PONCA CITY
      1900 NORTH 14TH STREET
      PONCA CITY, OK 74601
    • MERCY HOSPITAL OKLAHOMA CITY, INC
      4300 WEST MEMORIAL ROAD
      OKLAHOMA CITY, OK 73120
    • OKLAHOMA HEART HOSPITAL SOUTH, LLC
      5200 EAST I-240 SERVICE ROAD
      OKLAHOMA CITY, OK 73135
    • OKLAHOMA HEART HOSPITAL, LLC
      4050 WEST MEMORIAL ROAD
      OKLAHOMA CITY, OK 73120
    • ST MARY'S REGIONAL MEDICAL CENTER
      305 SOUTH 5TH STREET
      ENID, OK 73701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.