Provider Demographics
NPI:1811930381
Name:COLLINS, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:501 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2353
Practice Address - Country:US
Practice Address - Phone:717-765-5198
Practice Address - Fax:717-765-3422
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428795207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2165771OtherMAMSI
PAP00377939OtherRAILROAD MEDICARE
PA25-1716306OtherINTERGROUP
PACO1863392OtherHIGHMARK BLUE SHIELD
PA1561666OtherGATEWAY
PA4675050OtherAETNA NON-HMO
PAPEARLOtherHEALTH AMERICA
PA1286122OtherAETNA HMO
PA186189OtherUNISON
PA25-1716306OtherINFORMED
PA50085308OtherCAPITAL BLUECROSS
PAG920-0049/85XWCUOtherCAREFIRST
PAMD428795OtherLICENSE
PA101614249 0001Medicaid
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherDEVON
PA986804OtherFIRST HEALTH
PA120420412OtherDEPT OF LABOR
PA25-1716306OtherMULTIPLAN/PHCS
PA25-1716306OtherHEALTHNET./TRICARE
PA050514OtherMEDICARE GROUP #
PA050514OtherMEDICARE GROUP #
PAPEARLOtherHEALTH AMERICA
PA102016P1KMedicare PIN