Healthcare Provider Details

I. General information

NPI: 1336726892
Provider Name (Legal Business Name): ARMIKA COLLINS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARMIKA TATUM

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 W LEXINGTON STE 100
CINCINNATI OH
45212-3667
US

IV. Provider business mailing address

1775 W LEXINGTON STE 100
CINCINNATI OH
45212-3667
US

V. Phone/Fax

Practice location:
  • Phone: 513-977-6700
  • Fax: 513-531-2624
Mailing address:
  • Phone: 513-977-6700
  • Fax: 513-531-2624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberFC4786197
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberAM2789482
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34017491
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: