CHARLES HOLMES MCCOLLUM III (NPI# 1225091689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225091689 |
| Entity Type | Individual |
| Full Name | CHARLES HOLMES MCCOLLUM III |
| Credential | MD |
| Practice Address |
6565 Fannin St Department of Internal Medicine Houston TX 77030-2707 |
| Mailing Address |
Po Box 200100 Houston TX 77216-0100 |
| Practice Telephone | 7137903311 |
| Practice Fax Number | 7137904699 |
| Mailing Telephone | 7137988651 |
| Mailing Fax Number | 7139788252 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | C7701 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
C7701 | TX | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C7701 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902915671 | Charles E Mccollum | Optometrist | 1302 Enterprise Way, Marion, IL 62959 | 2006-08-29 |
| 1841222825 | Charles Joseph Mccollum | Pharmacist | 1312 Manatee Ave East, Bradenton, FL 34208 | 2006-07-07 |
| 1043418692 | Charles Ramsey Mccollum IIi | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-07-05 |
| 1467419960 | Charles J. Mccollum | Anesthesiology | 1201 7th St Se, Decatur, AL 35601-3337 | 2006-04-27 |
| Street Address |
6565 FANNIN ST DEPARTMENT OF INTERNAL MEDICINE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980263 | Janis Mary Snyder | Nurse Anesthetist, Certified Registered | 6565 Fannin St, Ste B452, Houston, TX 77030-2703 | 2005-05-28 |
| 1659987105 | Tammy Jean Davis | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-09-21 |
| 1003426826 | Priscilla Diaz | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-08-06 |
| 1285244061 | Jocelyn Gomez | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-08-05 |
| 1508475948 | Kimberly Cuellar | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-30 |
| 1437768520 | Tyfanie Nguyen | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-24 |
| 1912515602 | Latoya Lanette Cains-barnes | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-19 |
| 1497363295 | Reshemma Dion Nard | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-17 |
| 1730705252 | Kiely Alexis Whitham | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-06-20 |
| 1922624873 | Jonathan Brian Thai | Physical Therapy Assistant | 6565 Fannin St, Houston, TX 77030-2703 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1609303171 | Ross Gene Mcfall | Surgery | 6550 Fannin St # Sm1401, Houston, TX 77030-2717 | 2017-05-16 |
| 1093017063 | Southeast Texas Clinical Research and Education Inc | Surgery | 5925 Almeda Rd, North Tower Suite 717, Houston, TX 77004-7602 | 2010-11-24 |
| 1710150461 | Cardiothoracic and Vascular Surgery, Pllc | Surgery | 12327 N Shadow Cove Dr, Houston, TX 77082-2503 | 2008-04-02 |
| 1770760522 | Arash Keyhani | Surgery | 1631 North Loop W Ste 610, Houston, TX 77008-1552 | 2008-01-23 |
| 1447397716 | Jayer Chung | Surgery | 6620 Main Street (baylor College of Medicine), Suite 1325, Houston, TX 77030 | 2007-01-30 |
| 1366466914 | Damian Victorio Chaupin | Surgery | 800 Peakwood Drive, Suite 5g, Houston, TX 77090 | 2006-07-27 |
| 1427077817 | Jose Gabriel Monsalvez | Surgery | 4126 Southwest Fwy Ste 1100, Houston, TX 77027-7358 | 2006-07-18 |
| 1962471227 | William P Kalchoff | Surgery | 8313 Sw Fwy, Suite 201, Houston, TX 77074-1611 | 2006-03-17 |
| Find all providers in HOUSTON | ||||
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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.