EDGAR (TED) KING COLLISON IV MD
NPI 1043541154
Surgery in Green Bay, WI

Active since January 29, 2010
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgar (ted) King Collison Iv Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR (TED) KING COLLISON IV MD (NPI 1043541154) is an individual surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (54369-020) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1043541154
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEDGAR (TED) KING COLLISON IVCredential: MD
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing Address1715 Dousman StGreen Bay, WI 54303-3211 · (920) 496-4700
Sole ProprietorYes
Enumeration DateJanuary 29, 2010
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
NPI 1043541154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WI · 54369-020 Licensed in IL · 336.084547
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1715 DOUSMAN ST, Green Bay, WI 54303

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Specialist/Technologist, Other (Surgical Assistant)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Nurse Practitioner (Adult Health)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Registered Nurse
1715 DOUSMAN ST
GREEN BAY, WI 54303
Pediatrics
1715 DOUSMAN ST
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar (ted) Collison's NPI number?

The NPI number for Edgar (ted) Collison is 1043541154. It was assigned to this individual provider in the NPPES registry on January 29, 2010.

Where is Edgar (ted) Collison located?

Edgar (ted) Collison practices at 1715 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Edgar (ted) Collison's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Edgar (ted) Collison was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.