DR. JOHN EDWIN MCCOLLUM (NPI# 1750389318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750389318 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWIN MCCOLLUM |
| Credential | MD |
| Practice Address |
1601 E Whiskey Run Rd Ne New Salisbury IN 47161-9345 |
| Practice Telephone | 8123479977 |
| Mailing Telephone | 8123479977 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2012-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01032427 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHEILD | 000000042492 | 01 | |
| IN | 100128370A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215494737 | John Henry Mccollum Jr. | Counselor | 80 Congress St Ste 101, Springfield, MA 01104-3427 | 2019-02-21 |
| 1467867952 | John Mccollum | Counselor | 3450 Broadway, Boulder, CO 80304-1899 | 2014-06-24 |
| 1962830232 | John B Mccollum | Dentist | 110 S. Idaho Street, Dillon, MT 59725 | 2013-10-24 |
| 1235131509 | John Elliott Mccollum | Specialist | 417 Biltmore Ave, Asheville, NC 28801-4543 | 2005-06-01 |
| 1083036073 | John Mccollum | Specialist | 4259 Ne Broadway St, Portland, OR 97213-1421 | 2014-01-10 |
| Street Address |
1601 E WHISKEY RUN RD NE |
| City | NEW SALISBURY |
| State | IN |
| Zip Code | 47161-9345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154437424 | Harrison County Hospital | Family Medicine | 1601 E Whiskey Run Rd Ne, New Salisbury, IN 47161-9345 | 2006-08-21 |
| 1558361899 | Brandon Keith Connerly | Family Medicine | 1601 E Whiskey Run Rd Ne, New Salisbury, IN 47161-9345 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518279967 | Taillc | Clinic/Center | 3195 Whispering Woods Lane, New Salisbury, IN 47161 | 2010-07-13 |
| 1255855862 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1673 Highway 64 Ne, New Salisbury, IN 47161 | 2017-07-26 |
| 1669558862 | Insight Eyecare Associates Inc | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161 | 2006-10-31 |
| 1891971362 | Rashidui Islam Md Inc | Surgery | 1480 Old State Road 64 Ne, New Salisbury, IN 47161-7726 | 2008-01-15 |
| 1831314202 | David E Taylor | Dentist | 1490 Old State Road 64 Ne, New Salisbury, IN 47161-7726 | 2007-04-13 |
| 1477151496 | Soshanna A Renfro | Occupational Therapist | 1789 Bethlehem Rd Ne, New Salisbury, IN 47161-7908 | 2020-10-12 |
| 1194725051 | Timothy Lee Masden | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | 2005-07-21 |
| 1013368380 | Chelsea Werncke | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | 2016-06-28 |
| 1548260409 | Rebecca Mae Walton | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | 2005-07-21 |
| 1477688091 | Raymond Russell Hynds Jr. | Pharmacist | 1673 Highway 64 Ne, New Salisbury, IN 47161-8439 | 2007-02-22 |
| Find all providers in zip 47161 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW SALISBURY |
| Zip Code | 47161 |
Please comment or provide details below to improve the information on DR. JOHN EDWIN MCCOLLUM.
| 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.