DR. CALVIN ODELL MCCALL JR. (NPI# 1023129905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023129905 |
| Entity Type | Individual |
| Full Name | DR. CALVIN ODELL MCCALL JR. |
| Other Name | DR. CALVIN O. MCCALL |
| Credential | M.D. |
| Practice Address |
1201 Broad Rock Blvd Dermatology/111l Richmond VA 23249-0001 |
| Practice Telephone | 8046755000 |
| Practice Fax Number | 8046755670 |
| Mailing Telephone | 8046755000 |
| Mailing Fax Number | 8046755670 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101037654 | VA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 042351 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00713358B | 05 |
| Street Address |
1201 BROAD ROCK BLVD DERMATOLOGY/111L |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684480 | Earl M. Rogers I | Pharmacist | 1201 Broad Rock Blvd, Vamc Pharmacy Svc (119), Richmond, VA 23249-0001 | 2005-07-26 |
| 1750981791 | Irene Julia Montero | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1194325068 | Rodrick Dewayne Shinholster | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1902406887 | Akia Johnson | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1982204285 | Shaquana Shanesea Jones | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1396345773 | Freda Sergi | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1548860091 | Curtis Antoine Robb | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1891394326 | Paulette Suzanne Beasley | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1104425636 | Jennifer Lee Vass | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1760099204 | Caitlyn Andree Pittman | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| Find all providers in zip 23249 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1811211592 | Adam A Martin | Dermatology | 6946 Forest Ave Ste 200, Richmond, VA 23230-1701 | 2010-03-24 |
| 1114153285 | Brigitte Ullrich | Dermatology | 8715 Higginbotham Pl, Richmond, VA 23229-7935 | 2009-06-03 |
| 1972773745 | Laser & Skin Surgery Center of Richmond PC | Dermatology | 7001 Forest Ave., Suite 301, Richmond, VA 23230-1724 | 2008-03-07 |
| 1366631038 | Shelley K. Hoover, M.d., PC | Dermatology | 8600 Staples Mill Rd, Richmond, VA 23228-2719 | 2007-10-18 |
| 1891997433 | Jon Mark Igelman | Dermatology | 3113 Devon Drive, Richmond, IN 47374-9750 | 2007-06-05 |
| 1316907371 | Hazel J Vernon | Dermatology | 7001 Forest Ave Ste 300, Richmond, VA 23230-1726 | 2006-03-24 |
| 1346225802 | Christopher Robert Gorman | Dermatology | 420 Libbie Avenue, Richmond, VA 23226 | 2005-12-07 |
| 1215921390 | Dwight D. Smith | Dermatology | 180 Glenwood Dr, Richmond, IN 47374-3565 | 2005-09-06 |
| 1669466819 | Christopher Timberlake Aleman | Dermatology | 10710 Midlothian Tpke Ste 401, Richmond, VA 23235-4723 | 2005-09-02 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.