DR. THERESA LYNNE MCCOLLOM (NPI# 1205900461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205900461 |
| Entity Type | Individual |
| Full Name | DR. THERESA LYNNE MCCOLLOM |
| Credential | MD |
| Practice Address |
6161 S Yale Ave Tulsa OK 74136-1902 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
| Practice Telephone | 9184942226 |
| Mailing Telephone | 9184886001 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 24125 | OK | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | CO 44981 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366695405 | Theresa Marie Mccollom | Physical Therapy Assistant | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2008-11-03 |
| Street Address |
6161 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334496 | Barry Clinton Mirtsching | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2005-05-23 |
| 1295334977 | Linda Mccall Williams | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-22 |
| 1487253530 | Nikkira Renae Barnes | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-20 |
| 1114524998 | Garrett Anthony Hastings | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-05 |
| 1891308532 | Kristy Mckinnie | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-24 |
| 1508478439 | Jessica Lynn Avila | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-21 |
| 1447878632 | Heather Ann Durow | Respiratory Therapist, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-07-14 |
| 1518584374 | Kellie Jean Norris | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-06-28 |
| 1417585654 | Thomas Weaver | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-04-01 |
| 1205464773 | Catherine Grantham | Dietitian, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680010 | Micah Relic | Obstetrics & Gynecology | 6465 S Yale Ave Ste 615, Tulsa, OK 74136 | 2014-04-23 |
| 1245674167 | Amanda Rae Christian | Obstetrics & Gynecology | 10507 E 91st St Ste 250, Tulsa, OK 74133-5566 | 2013-04-22 |
| 1538422423 | David Christian Cameron | Obstetrics & Gynecology | 1120 S Utica Ave Ste G100, Tulsa, OK 74104-4012 | 2012-06-17 |
| 1487930491 | Eddie Mack Abbott | Obstetrics & Gynecology | 2121 S Yorktown Ave, Apt. 601, Tulsa, OK 74114-1426 | 2011-10-24 |
| 1770874232 | Greenwood Healthcare Specialists for Women, Pllc | Obstetrics & Gynecology | 1216 E Apache St, Tulsa, OK 74106-3938 | 2011-05-02 |
| 1033350889 | Jack M. Miller | Obstetrics & Gynecology | 6406 E 108th St, Tulsa, OK 74137-8907 | 2009-03-07 |
| 1831366574 | Elizabeth Kate Couch-harris | Obstetrics & Gynecology | 6465 S Yale Ave Ste 815, Tulsa, OK 74136-7820 | 2008-05-12 |
| 1982881686 | Jennifer Gibbens Md Pllc | Obstetrics & Gynecology | 1805 E 15th St, Tulsa, OK 74104-4610 | 2008-01-24 |
| 1154487866 | Lynn E. Frame Md Inc | Obstetrics & Gynecology | 1725 E 19th St Ste 401, Tulsa, OK 74104-5409 | 2006-12-28 |
| 1154484269 | Erin Noelle Hill | Obstetrics & Gynecology | 10507 E 91st St Ste 220, Tulsa, OK 74133-5566 | 2006-12-19 |
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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.