DR. JENNIFER ANNE MCCALLUM (NPI# 1760695944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760695944 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANNE MCCALLUM |
| Credential | M.D. |
| Practice Address |
10001 Lile Drive Little Rock AR 72205-6217 |
| Mailing Address |
10001 Lile Dr Little Rock AR 72205-6217 |
| Practice Telephone | 5012278000 |
| Practice Fax Number | 5012215854 |
| Mailing Telephone | 5012278000 |
| Mailing Fax Number | 5012215854 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
E-5172 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC | 686481 | 01 |
| AR | 164803001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992224281 | Jennifer Mccallum | Counselor | 11803 Classic Ln Ste A, Forney, TX 75126-7077 | 2017-09-18 |
| Street Address |
10001 LILE DRIVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816087 | Thomas Darrell Cain | Internal Medicine | 10001 Lile Drive, Little Rock, AR 72205-6217 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205018306 | Donald G Leonard Md Rheumatology Clinic Pa | Internal Medicine | 3 Office Park Dr, Suite 100, Little Rock, AR 72211-3843 | 2007-11-29 |
| 1497783757 | Richard W Houk | Internal Medicine | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2006-06-28 |
| 1093137507 | Arkansas Rheumatology Center, Pllc | Internal Medicine | 9101 Kanis Rd, Suite 203, Little Rock, AR 72205-6456 | 2014-01-17 |
| 1518284025 | Little Rock Rheumatology Clinic Pa | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2010-04-23 |
| 1710167317 | Columbus Brown Iv Md Pa | Internal Medicine | 500 S University Ave, Suite 615, Little Rock, AR 72205-5302 | 2007-11-12 |
| 1124208418 | Arkansas Arthritis Clinic, P.a. | Internal Medicine | 500 S University Ave, Suite 615, Little Rock, AR 72205-5302 | 2007-11-05 |
| 1942389440 | Zainab Siddiqui | Internal Medicine | 10001 Lile Dr, Little Rock, AR 72205-6217 | 2006-11-03 |
| 1053423350 | Safwan H Sakr | Internal Medicine | 10001 Lile Dr, Little Rock, AR 72205-6217 | 2006-08-31 |
| 1780792689 | Rachel Luella Wayne | Internal Medicine | 10001 Lile Dr, Little Rock, AR 72205-6217 | 2006-08-29 |
| 1699781450 | Eleanor Ann Lipsmeyer | Internal Medicine | 4301 W Markham St, Slot 509, Little Rock, AR 72205-7101 | 2006-08-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. JENNIFER ANNE MCCALLUM.
| 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.