Theresa L Mccollom (NPI# 1205900461, PAC ID# 5294887949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1205900461 |
| PAC ID by PECOS | 5294887949 |
| Professional Enrollment ID | I20090710000350 |
| Full Name | Theresa L Mccollom |
| Organization Legal Name | WARREN CLINIC INC |
| Address |
6161 S Yale Ave Tulsa OK 74136-1902 |
| Phone Number | 9185024720 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8820900293 |
| Number of Group Practice Members | 487 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 6161 S Yale Ave, Tulsa, OK 74136-1902 | 9185024720 | WARREN CLINIC INC |
| Organization Legal Name | WARREN CLINIC INC |
| Physicians | 455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Mix | Physician Assistant | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Charity Dawn Johnson | Family Medicine | Warren Clinic Inc | 108 Lone Oak Cir, Fort Gibson, OK 74434-5001 |
| Peter Fast | Sports Medicine | Warren Clinic Inc | 2900 N Main St, Muskogee, OK 74401-4078 |
| Shiela D Williams | Nurse Practitioner | Warren Clinic Inc | 715 N Foreman St, Vinita, OK 74301-1422 |
| Richenda Dawn Herren | General Surgery | Warren Clinic Inc | 101 Rockefeller Dr, Suite 201, Muskogee, OK 74401-5050 |
| Carmen Oakes | Nurse Practitioner | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| Patrice Harrison | Qualified Audiologist | Warren Clinic Inc | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 |
| Jonathan M Baldwin | Obstetrics/gynecology | Warren Clinic Inc | 3504 W Okmulgee St, Muskogee, OK 74401-5073 |
| Robert L Shepler | Family Medicine | Warren Clinic Inc | 3332 W Okmulgee St, Muskogee, OK 74401-5069 |
| Ashley Anne Petersen | Pediatric Medicine | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| Street Address |
6161 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip | 74136-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Mix | Physician Assistant | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Robert Okada | Interventional Cardiology | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Angela D Bolz | Hospitalist | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Charles A Rodman Iv | Emergency Medicine | Emergency Medicine Physicians of Tulsa County Pllc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Bhavik Patel | Hospitalist | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Sara Newell | Rheumatology | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Preston J Phillips | Orthopedic Surgery | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Wyatt Waiyip Ho | Plastic and Reconstructive Surgery | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Joseph Mahaffey | Physician Assistant | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Charles E Stewart | Radiation Oncology | Radiation Therapy Specialists of Tulsa, Pllc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar J Kranau | Psychologist, Clinical | 6216 S Lewis Ave, Suite 164, Tulsa, OK 74136-1017 | |
| Monica Waukea Hamer | Clinical Social Worker | 6216 S Lewis Ave, Suite 103, Tulsa, OK 74136-1017 | |
| Andrea Byers | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Janine Krause | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kristine G Siegenthaler | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kelli Dawn Kelley | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Samantha R Cannon | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Amy E Kroll | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Beverly P Rice | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Sally Townsend-wellons | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Find all physicians in zip 74136 | |||
| City | TULSA |
| Zip Code | 74136 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | TULSA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Theresa L Mccollom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.