Physician Compare National (NPI:1366559700)

HEALTHCARE PROVIDER: DONALD M COLLINS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366559700
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103843404
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100326000344
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COLLINS
	Individual professional last name
Provider First Name	DONALD
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1109 LUCERNE TER
	Group Practice or individual's line 1 address
City	ORLANDO
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	328061094
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ORLANDO HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FLORIDA HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100051
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTH LAKE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100030
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HEALTH CENTRAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y