COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC – NPI #1477124469
Plastic Surgery

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC is a plastic surgeon located in NAPLES, FL. NPPES has assigned the NPI number 1477124469 to COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC on July 09, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0105X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 4 years ago on Mar 09, 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 COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC below.

NPI Profile for
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC

NPI Number
1477124469
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba): COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Other name(s)
All associated names:
Doing Business As (dba)
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba)
Physicians Regional Medical Group-Collier
Primary location
8340 COLLIER BLVD STE 303
NAPLES, FL 34114-3626
Phone: (239) 348-4400 Fax: (239) 348-4197
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: (615) 465-7211 Fax: (615) 628-6877
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
Mar 09, 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 COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC

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
MEDICAIDFL001609616
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
2082S0105X
- Plastic Surgery / Surgery of the Hand (Primary)
363A00000X
- Physician Assistant

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.