MICHAEL E MCCOLLUM (NPI# 1306815287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306815287 |
| Entity Type | Individual |
| Full Name | MICHAEL E MCCOLLUM |
| Credential | M.D. |
| Practice Address |
5900 Lake Wright Dr Norfolk VA 23502-1871 |
| Mailing Address |
5900 Lake Wright Dr Suite 300 Norfolk VA 23502-1871 |
| Practice Telephone | 7574668683 |
| Practice Fax Number | 7574660250 |
| Mailing Telephone | 7572135700 |
| Mailing Fax Number | 7572135701 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
0101244096 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 1306815287 | 01 |
| VA | 1306815287 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720510753 | Michael Brandon Mccollum | Student in an Organized Health Care Education/Training Program | 5721 Morris St Apt 502, Philadelphia, PA 19144-3832 | 2017-03-29 |
| 1295785210 | Michael Shawn Mccollum | Social Worker | 1501 San Pedro Dr Se Dept Va, Albuquerque, NM 87108-5153 | 2006-05-11 |
| 1700126968 | Michael L Mccollum | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2013-02-26 |
| 1114161643 | Michael Mccollum | Radiology | 629d Lowther Rd, Lewisberry, PA 17339 | 2009-04-28 |
| 1982672648 | Michael J Mccollum | Orthopaedic Surgery | 1926 Alcoa Hwy, Bldg. F, Suite 210, Knoxville, TN 37920-1545 | 2006-03-09 |
| 1003891060 | Michael J Mccollum | Radiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-12-13 |
| 1922007301 | Michael Francis Mccollum | Obstetrics & Gynecology | 1500 Lansdowne Ave, 1st Floor, Darby, PA 19023-1200 | 2005-07-19 |
| Street Address |
5900 LAKE WRIGHT DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293966 | Burton F Alexander IIi | Specialist | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2005-05-23 |
| 1689293003 | Joseph Fitzpatrick Doyle | Genetic Counselor, MS | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2020-04-15 |
| 1235765306 | Mallory Matheson | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2020-03-20 |
| 1194282483 | Stacey Warburton | Nurse Practitioner | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2019-02-22 |
| 1346637873 | Karen Woodhouse | Social Worker | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-04-22 |
| 1679965099 | Kristen Rae Taylor | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-02-22 |
| 1699165910 | Juli M Phillips | Nurse Practitioner | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-01-26 |
| 1881010528 | Amanda M Becker | Social Worker | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2014-03-05 |
| 1275961336 | Ashley Maria Payne Martin | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2013-10-28 |
| 1932532744 | Tifany Lewis | Genetic Counselor, MS | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1740285303 | Robert C Squatrito | Obstetrics & Gynecology | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434420 | Central Virginia Gynecologic Oncology PC | Obstetrics & Gynecology | 9101 Stony Point Dr # 3300, Richmond, VA 23235-1979 | 2019-08-27 |
| 1265951818 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St Ste 305, Richmond, VA 23223-5311 | 2017-09-14 |
| 1225460900 | Sherilynn Hummel | Obstetrics & Gynecology | 372 Coles Road, Burgess, VA 22432-0639 | 2013-08-05 |
| 1184811614 | Christopher Kevin Mccann | Obstetrics & Gynecology | 12720 Mcmanus Blvd Ste 308, Newport News, VA 23602-4414 | 2007-09-28 |
| 1861592339 | Randal John West | Obstetrics & Gynecology | 9101 Stony Point Dr Ste 3300, Richmond, VA 23235-1979 | 2006-09-25 |
| 1811948383 | Janet L Osborne | Obstetrics & Gynecology | 1 Riverside Cir Ste 300m, Roanoke, VA 24016-4962 | 2006-05-12 |
| 1699733808 | Chad Andrew Hamilton | Obstetrics & Gynecology | 3289 Woodburn Rd Ste 320, Annandale, VA 22003 | 2006-05-04 |
| 1730156373 | John C Elkas | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 | 2006-03-02 |
| 1902348139 | Loudoun Medical Group . P.c | Obstetrics & Gynecology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-04 |
| 1932654886 | Bon Secours - Richmond Community Hospital, Incorporated | Obstetrics & Gynecology | 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 | 2016-08-22 |
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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.