MEDICARE: MATTHEW WILLIAM COLLARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1184475550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW WILLIAM COLLARD MD

Provider Business Mailing Address
First Line	:	5300 N MEADOWS DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2546
Country	:	US
Telephone Number	:	614-663-4550
Fax Number	:	614-663-4555

Provider Business Practice Location Address
First Line	:	5300 N MEADOWS DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2546
Country	:	US
Telephone Number	:	614-663-4550
Fax Number	:	614-663-4555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/08/2026

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Directions to “ MATTHEW WILLIAM COLLARD MD” Practice Location

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