MILTON BIRD MCCOLL (NPI# 1720402977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720402977 |
| Entity Type | Individual |
| Full Name | MILTON BIRD MCCOLL |
| Credential | M.D. |
| Practice Address |
455 Oconnor Dr Suite 200 San Jose CA 95128-1633 |
| Practice Telephone | 4082837676 |
| Mailing Telephone | 4082837676 |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | GFE68043 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA PHYSICIAN AND SURGEON LICENSE | G68043 | 01 |
| Street Address |
455 OCONNOR DR SUITE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861400 | Aldon J Hilton | Dentist | 455 Oconnor Dr, Suite 320, San Jose, CA 95128-1633 | 2005-09-17 |
| 1245850585 | Celina Allyn Mercer | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2020-04-16 |
| 1255820635 | Alexandra Laura Duisberg | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2018-05-01 |
| 1457857831 | William Chun-yin Hui | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2018-04-04 |
| 1760910467 | Lucia Tome | Family Medicine | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2017-05-25 |
| 1972985083 | O'connor Hospital | General Acute Care Hospital | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-25 |
| 1790167401 | Angela F Chiang | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-18 |
| 1386026086 | Nhat Pham | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, Ste 200, San Jose, CA 95128-1633 | 2015-06-18 |
| 1396123568 | Sutter Visiting Nurse Association and Hospice | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2015-05-08 |
| 1194139253 | David Shin | Family Medicine | 455 Oconnor Dr, Suite 250, San Jose, CA 95128 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558349 | Forrest Robert Hamlin Sr. | General Practice | 415 E Taylor St, San Jose, CA 95112 | 2017-06-20 |
| 1811334741 | Thanh Nguyet T Mehlert | General Practice | 1097 Foxhurst Way, San Jose, CA 95120-4226 | 2013-06-01 |
| 1881866812 | Harry David Friedman | General Practice | 3097 Moorpark Ave, Suite 102, San Jose, CA 95128-2543 | 2008-03-31 |
| 1346446481 | Dai Tu Pham | General Practice | 10 S 14th St, San Jose, CA 95112-2015 | 2007-06-25 |
| 1952529497 | James Stephen Dyer | General Practice | 6052 Montgomery Bnd, San Jose, CA 95135-1429 | 2007-04-22 |
| 1659408292 | Youssef Shakib Fahimi | General Practice | 1754 Dalton Pl, San Jose, CA 95124-5701 | 2007-02-28 |
| 1134228752 | Albert A Gomez | General Practice | 1644 Alum Rock Ave, San Jose, CA 95116-2429 | 2006-09-21 |
| 1467550608 | Them Huynh | General Practice | 1855 Alum Rock Ave Ste C, San Jose, CA 95116-1398 | 2006-09-20 |
| 1427153808 | Henry R Gan | General Practice | 1685 Westwood Dr, #3, San Jose, CA 95125 | 2006-09-13 |
| 1396848230 | Robert K.c. Lin | General Practice | 888 N Winchester Blvd, San Jose, CA 95128-1353 | 2006-09-06 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on MILTON BIRD MCCOLL.
| 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.