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NPI Code Detail

MEDICARE: ABBIE COLLINSWORTH MD

MEDICARE: ABBIE COLLINSWORTH 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
1207P00000XEmergency Medicine Physician0430531KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902996630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIE COLLINSWORTH MD
Provider Business Mailing Address
First Line : PO BOX 548
Second Line :
City : WICHITA
State : KS
Zip : 67201-0548
Country : US
Telephone Number : 316-962-2239
Fax Number :
Provider Business Practice Location Address
First Line : 10346 E STONEGATE LN STE 100
Second Line :
City : WICHITA
State : KS
Zip : 67206-2054
Country : US
Telephone Number : 316-871-0779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 05/21/2025

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Directions to “ ABBIE COLLINSWORTH MD” Practice Location

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