DR. ANDREW DAVID MCCOLLUM (NPI# 1407898505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407898505 |
| Entity Type | Individual |
| Full Name | DR. ANDREW DAVID MCCOLLUM |
| Credential | MD |
| Practice Address |
3410 Worth St Dallas TX 75246-2003 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2143701000 |
| Practice Fax Number | 2143701202 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
K1252 | TX | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
K1252 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 150769103 | 05 | |
| TX | 150769105 | 05 | |
| TX | 105769101 | 05 | |
| TX | 150769104 | 05 | |
| TX | 150769106 | 05 | |
| TX | BLUE CROSS OF TX | 8R1500 | 01 |
| TX | CSHCN | 150769102 | 01 |
| Street Address |
3410 WORTH ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336121565 | Jacqueline G O'leary | Internal Medicine | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2005-11-15 |
| 1619455839 | Bonnie Lucio | Physical Therapist | 3410 Worth St, Dallas, TX 75246-2003 | 2018-07-31 |
| 1831604917 | Elizabeth Marie Brown | Nurse Practitioner | 3410 Worth St, Dallas, TX 75246-2003 | 2017-12-11 |
| 1003357799 | Whitney Mcmullan Whiteley | Registered Nurse | 3410 Worth St, Suite 250, Dallas, TX 75246-2003 | 2017-03-14 |
| 1841744042 | Augusto Flores | Nurse Practitioner | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2016-08-05 |
| 1255783122 | Kelly Amanda Johnson | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-07-05 |
| 1053760025 | Chelsey Burden | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-06-09 |
| 1154776243 | Debra Werley | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2016-04-26 |
| 1194197947 | Tiffany Bruno | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2015-10-20 |
| 1558732602 | Denise A Adams | Nurse Practitioner | 3410 Worth St, 9th Floor, Dallas, TX 75246-2003 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1679784524 | Nebu V Koshy | Internal Medicine | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2007-05-24 |
| 1942424528 | Farrukh T Awan | Internal Medicine | 6201 Harry Hines Blvd Mail Code 8565, Dallas, TX 75390 | 2007-04-12 |
| 1518029073 | Suzanne D Conzen | Internal Medicine | 2201 Inwood Road 3rd Floor -nc3.500, Dallas, TX 75390-6686 | 2006-12-14 |
| 1164512414 | Thomas W. Froehlich | Internal Medicine | Ut Southwestern, 5323 Harry Hines Blvd., Dallas, TX 75390-8852 | 2006-10-14 |
| 1669494134 | Katherine Chiyu Wang | Internal Medicine | 8196 Walnut Hill Ln Ste 100, Dallas, TX 75231 | 2006-07-24 |
| 1609811751 | Volker H Gressler | Internal Medicine | 6542 Turner Way, Dallas, TX 75230-1934 | 2006-06-20 |
| 1801847991 | Elizabeth Anne Maher | Internal Medicine | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7208 | 2006-05-13 |
| 1568423978 | Joan H Schiller | Internal Medicine | 5323 Harry Hines Bv, Dallas, TX 75390-7208 | 2006-03-28 |
| Find all providers in DALLAS | ||||
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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.