Dr. Charles J. Mccollum
Anesthesiology

Address: 1201 7th St Se, Decatur, AL 35601-3337
Phone: 2563412000

Dr. Charles J. Mccollum (NPI# 1467419960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1467419960
Entity Type Individual
Full Name Dr. Charles J. Mccollum
Credential M.D.
Gender Male
Practice Address 1201 7th St Se
Decatur
AL 35601-3337
Practice Telephone 2563412000
Practice Fax Number 2563502609
Mailing Address 1900 Flint Rd Se
Decatur
AL 35601-6031
Mailing Telephone 2563530626
Sole Proprietor Not Answered
Enumeration Date 2006-04-27
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207L00000X Anesthesiology Allopathic & Osteopathic Physicians 00011521 AL

Other Providers CHARLES MCCOLLUM

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
1225091689 Charles Holmes Mccollum IIi Surgery 6565 Fannin St, Department of Internal Medicine, Houston, TX 77030-2707 2006-04-07

Physician Overview

NPI 1467419960
PAC ID by PECOS 0446244586
Professional Enrollment ID I20110118000572
Full Name Charles J Mccollum
Organization Legal Name ANESTHESIA SERVICES OF DECATUR, P.C.
Phone Number 2567649697
Gender M
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty ANESTHESIOLOGY
Group Practice PAC ID 4183618226
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010085 DECATUR MORGAN HOSPITAL - DECATUR CAMPUS
010039 HUNTSVILLE HOSPITAL

Office Location

Street Address 1201 7TH ST SE
City DECATUR
State AL
Zip Code 35601-3337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326036070 Brian Koonce Nurse Anesthetist, Certified Registered 1201 7th St Se, Decatur, AL 35601-3337 2005-10-06
1144799693 Jenna Anne Cox Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3303 2018-11-14
1093296964 Delana Cole Clemons Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3337 2018-08-28
1679000202 Jennifer Mcnatt Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3337 2017-05-13
1508216649 Evangeleine Helene Bates Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3337 2016-06-20
1053788133 Kayla C Hennigar Physician Assistant 1201 7th St Se, Decatur, AL 35601-3337 2015-08-25
1447634019 Sheli Margaret Ward Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3337 2015-07-14
1447633581 Katherine Mclaurin Physician Assistant 1201 7th St Se, Decatur, AL 35601-3337 2015-07-07
1992187439 Siddharth Hasmukhbhai Patel Internal Medicine 1201 7th St Se, Decatur, AL 35601 2015-06-21
1427443944 James Allen Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3337 2015-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497208250 Beronica Goodwin Home Health Aide 1102b Suite #2 4th Ave Se, Decatur, AL 35601 2016-07-28
1770957177 Xochitl Dupre Obstetrics & Gynecology 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 2015-11-23
1104224708 River City Psychiatry, Inc. Community/Behavioral Health 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 2014-12-12
1760882690 Derrick Aaron Randolph Registered Nurse 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 2014-08-28
1427465434 Martha Read Family Medicine 2208 Danville Rd Sw Ste A, Decatur, AL 35601 2014-07-22
1205242948 Pure Heart Home Care of Alabama, LLC Community Based Residential Treatment Facility, Mental Retardati 107 B 14th Street Sw, Decatur, AL 35601 2014-07-02
1366794711 Complete Dental Decatur LLC Dentist 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 2012-10-10
1245505536 Urology Associates of North Alabama Urology 1874 Beltine Road, Sw, Suite 106, Decatur, AL 35601 2012-03-20
1265741557 A Caring Place Home Health 432 Moulton Street, E, Decatur, AL 35601 2010-10-04
1427375286 Kimberly Ann Donohue Dietitian, Registered 1874 Beltine Rd, Decatur, AL 35601 2010-05-03
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568866887 Anesthesia Advantage Inc Anesthesiology 875 Vistavia Cir, Decatur, GA 30033-3409 2014-10-15
1427323864 Francesco Vetri Anesthesiology 304 W Hay St Ste 213, Decatur, IL 62526-4169 2012-03-19
1730356379 Amanda Sampey Anesthesiology 1205 Mcconnell Dr, Decatur, GA 30033-3501 2008-05-13
1962433508 Fitzclarence N Harper Anesthesiology 4153 Flat Shoals Parkway, Building A Suite 102, Decatur, GA 30034-4106 2006-07-05
1437199122 Charles Langdon Watkins Anesthesiology 1704 Summerlane Se, Decatur, AL 35601 2006-06-08
1215981840 Suzana Anic Anesthesiology 2701 N. Decatur Rd, Decatur, GA 30033-0000 2006-05-19
1760452072 Jeffrey M Markham Anesthesiology 2208 Danville Rd Sw Ste G, Decatur, AL 35601-4603 2006-01-26
1679062921 Papillon Anesthesia Pllc Anesthesiology 726 County Road 3250, Decatur, TX 76234-4857 2018-05-02
1487018412 Decatur Ambulatory Surgery Center Anesthesiology 2828 Highway 31 S, Decatur, AL 35603-1510 2016-04-06
1033587324 Nrd Md LLC Anesthesiology 2828 Highway 31 S, Decatur, AL 35603-1510 2015-09-03
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City DECATUR
Zip Code 35601

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Dataset Information

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.

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