MR. DAVID HARLEY MCCALLUM (NPI# 1205236973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205236973 |
| Entity Type | Individual |
| Full Name | MR. DAVID HARLEY MCCALLUM |
| Credential | N.P. |
| Practice Address |
14700 King Rd Ste A Riverview MI 48193-7909 |
| Practice Telephone | 7344791944 |
| Mailing Telephone | 7344791944 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | 4704236050 | MI | Hospital Units |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704236050 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI LICENSE | 4704236050 | 01 |
| Street Address |
14700 KING RD STE A |
| City | RIVERVIEW |
| State | MI |
| Zip Code | 48193-7909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962569467 | Kathleen Farquhar | Physician Assistant | 14700 King Rd Ste A, Riverview, MI 48193-7909 | 2007-01-03 |
| 1013438068 | Rachel Rogers | Internal Medicine | 14700 King Rd Ste A, Riverview, MI 48193-7909 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| 1710348974 | Roberta Ryan | Licensed Practical Nurse | 19048 Stonewood, Riverview, MI 48193 | 2016-03-16 |
| 1083978126 | Waqar Ahmed Yazdani | Physical Therapist | 21708 Adams Dr, Brownstown, MI 48193 | 2012-07-03 |
| 1568745008 | Adrianne Rockin Co LLC | Registered Nurse | 17735 Fort St, Riverview, MI 48193 | 2011-09-21 |
| 1962504399 | Barbara Lynn Novak | Technician/Technologist | 19216 Fort Street, Riverview, MI 48193 | 2006-09-05 |
| 1750494282 | Cosmetic Dermatology and Vein Centers of Downriver PC | Dermatology | 17171 Fort St, Riverview, MI 48193 | 2006-08-17 |
| 1235106915 | Syed Muhammad Raza | Internal Medicine | 18025 Fort St, Riverview, MI 48193 | 2006-03-02 |
| 1083686380 | John A Santoro | Dentist | 14525 Sibley Rd, Riverview, MI 48193 | 2006-02-02 |
| 1649240177 | Asker Asmi | Internal Medicine | 18025 Fort Street, Riverview, MI 48193 | 2006-01-26 |
| 1720562051 | Sana Health Inc | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-09-21 |
| Find all providers in zip 48193 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757184 | Anne Wissman | Nurse Practitioner | 6308 Magnolia Park Blvd, Riverview, FL 33578-8675 | 2020-10-14 |
| 1811595002 | Miguel Angel Prado Gomez | Nurse Practitioner | 7325 Blue Beech Dr, Riverview, FL 33578-8686 | 2020-10-11 |
| 1376157180 | Yeilene Ashley Schower | Nurse Practitioner | 11210 Rice Creek Rd, Riverview, FL 33569-5132 | 2020-08-31 |
| 1336759943 | Tanya Renee Woulard | Nurse Practitioner | 13105 Elk Mountain Dr, Riverview, FL 33579-7184 | 2020-08-07 |
| 1104436385 | Bethany Eilers | Nurse Practitioner | 14550 Shenandoah Dr, Riverview, MI 48193-7727 | 2020-08-03 |
| 1558986232 | Melissa Raquel Acosta | Nurse Practitioner | 13039 Summerfield Square Dr Unit A, Riverview, FL 33578-7402 | 2020-06-09 |
| 1437782182 | Tanya Combs | Nurse Practitioner | 11765 Winterset Cove Dr, Riverview, FL 33579-9350 | 2020-02-20 |
| 1811527781 | Nadege Nolla Colin | Nurse Practitioner | 14109 Poke Ridge Dr, Riverview, FL 33579-3509 | 2020-01-20 |
| 1619517752 | Caitlin Janell White | Nurse Practitioner | 8027 Arbor Park Ln, Riverview, FL 33578-4078 | 2020-01-07 |
| 1336786128 | Olga Manite Nicolas | Nurse Practitioner | 13310 Amber Sky Pl, Riverview, FL 33579-7278 | 2019-11-29 |
| Find all providers in RIVERVIEW | ||||
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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.