RICHARD G. MCCOLLUM JR. (NPI# 1659302289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659302289 |
| Entity Type | Individual |
| Full Name | RICHARD G. MCCOLLUM JR. |
| Credential | M.D. |
| Practice Address |
3998 Red Lion Rd Emergency Department Philadelphia PA 19114-1436 |
| Mailing Address |
Po Box 8500-6335 Philadelphia PA 19178-0001 |
| Practice Telephone | 2156124000 |
| Practice Fax Number | 2158078235 |
| Mailing Telephone | 2158078166 |
| Mailing Fax Number | 2158078235 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2019031790 | MO | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 036150432 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD427812 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERICHOICE FF | 101701845-02 | 01 |
| PA | PERSONAL CHOICE | 1882159 | 01 |
| PA | KEYSTONE, IBC | 274408400 | 01 |
| PA | KEYSTONE MERCY | 30034608 | 01 |
| OR | 024508 | 05 | |
| PA | 1017018450002 | 05 | |
| PA | AMERICHOICE -FT | 101701845-01 | 01 |
| PA | 1017018450001 | 05 | |
| PA | HEALTH PARTNERS | 07645 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1882159 | 01 |
| PA | AMERICHOICE - FB | 101701845-03 | 01 |
| PA | 1017018450003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215084611 | Richard George Mccollum | Orthopaedic Surgery | 4155 Boulevard Pl, Mercer Island, WA 98040-3403 | 2007-01-05 |
| Street Address |
3998 RED LION RD EMERGENCY DEPARTMENT |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657086 | Milton E Coll | Urology | 3998 Red Lion Rd, Ste 305, Philadelphia, PA 19114-1436 | 2005-05-27 |
| 1053930974 | Methodist Associates In Healthcare, Inc | Otolaryngology | 3998 Red Lion Rd, Philadelphia, PA 19114-1445 | 2020-04-10 |
| 1720645484 | Christine Nicole Bono | Nurse Practitioner | 3998 Red Lion Rd, Philadelphia, PA 19114-1445 | 2019-05-28 |
| 1396302626 | Aria Health Physicain Services | Clinic/Center | 3998 Red Lion Rd, Philadelphia, PA 19114-1445 | 2019-05-22 |
| 1932645447 | Cajulis Pediatrics | Pediatrics | 3998 Red Lion Rd, Suite 215, Philadelphia, PA 19114-1445 | 2017-01-09 |
| 1245628486 | Aileen Rueter | Nurse Practitioner | 3998 Red Lion Rd, Suite215, Philadelphia, PA 19114-1445 | 2014-12-22 |
| 1578977989 | Marcus Allen Greco | Emergency Medicine | 3998 Red Lion Rd, Office of Academic Affairs, Philadelphia, PA 19114-1445 | 2014-06-12 |
| 1669897211 | Brian Patrick Dugan | Nurse Practitioner | 3998 Red Lion Rd, Suite 306, Philadelphia, PA 19114-1445 | 2014-02-19 |
| 1144563636 | Joseph Arcieri | Nurse Practitioner | 3998 Red Lion Rd, Suite 306, Philadelphia, PA 19114-1445 | 2013-04-03 |
| 1780926915 | Alliance Cancer Specialists,p.c. | Non-Pharmacy Dispensing Site | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 | 2013-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1023515384 | Lisa Michelle Friedland | Emergency Medicine | 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 | 2018-04-11 |
| 1326543034 | Daniel Du Pont | Emergency Medicine | 3400 Civic Center Blvd Bldg 421, Philadelphia, PA 19104 | 2018-03-26 |
| 1053827485 | Prohealth Leaders LLC | Emergency Medicine | 9963 Bustleton Ave, Philadelphia, PA 19115-1557 | 2017-12-21 |
| 1841729340 | Mark Ramzy | Emergency Medicine | 230 North Broad St, Hahnemann University Hospital, Philadelphia, PA 19102 | 2017-06-08 |
| 1871020347 | Benjamin Ariel Bloom | Emergency Medicine | 1316 W Ontario St Fl 10, Philadelphia, PA 19140-5220 | 2017-05-16 |
| 1730575283 | Elaine Smith | Emergency Medicine | 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 | 2015-04-11 |
| 1295120251 | Stephen Hallisey | Emergency Medicine | 3400 Spruce St Hospital of The University of Pa, Department of Emergency Medicine Ground Floor Ravdin, Philadelphia, PA 19104-4238 | 2015-04-06 |
| 1831505254 | Gerald Whelan | Emergency Medicine | 39 Summit St, Philadelphia, PA 19118-2832 | 2014-07-07 |
| 1679987374 | John Benjamin | Emergency Medicine | 245 N. 15th Street, Philadelphia, PA 19102 | 2014-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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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.