CHARLES HOLMES MCCOLLUM III MD
NPI 1225091689
Surgery - Vascular Surgery in Houston, TX

NPI Status: Active since April 07, 2006

Contact Information

6565 FANNIN ST
DEPARTMENT OF INTERNAL MEDICINE
HOUSTON, TX
ZIP 77030
Phone: (713) 790-3311
Fax: (713) 790-4699

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  • Individual
  • Male
  • Surgery
  • Vascular Surgery

About CHARLES MCCOLLUM

This page provides the complete NPI Profile along with additional information for Charles Mccollum, a provider established in Houston, Texas with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1225091689 assigned on April 2006. The practitioner's primary taxonomy code is 2086S0129X with license number C7701 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1225091689
Provider Name
CHARLES HOLMES MCCOLLUM III MD
Gender
Male
Entity Type
Individual
Location Address
6565 FANNIN ST DEPARTMENT OF INTERNAL MEDICINE HOUSTON, TX 77030
Location Phone
(713) 790-3311
Location Fax
(713) 790-4699
Mailing Address
PO BOX 200100 HOUSTON, TX 77216
Mailing Phone
(713) 798-8651
Mailing Fax
(713) 790-4699
Is Sole Proprietor?
No
Enumeration Date
04-07-2006
Last Update Date
12-21-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
C7701
License State
TX
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

C7701 (TX)
2208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

C7701 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B24723MEDICARE UPIN (02) 
84R916MEDICARE PIN (08)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225091689
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245092616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 9 + 2 + 6 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1225091689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083619316DR. JOYCE MALDONADO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1912902248DR. CHRISTOPHER LEVEQUE MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1386620318 AMY L. PAUL CNP
Individual
Nurse Practitioner (Acute Care)6565 FANNIN ST SUITE B452
HOUSTON, TX 77030
(713) 441-3620
1457320202MR. MICHAEL THOMAS MABREY R.PH.
Individual
Pharmacist6565 FANNIN ST DEPARTMENT OF PHARMACY
HOUSTON, TX 77030
(713) 441-6970
1871551176 DINA RUSTOM MODY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1043278302 MOJGAN AMRIKACHI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1144288424 SEEMA SANJEEV MULLICK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1407814783 APRIL ANNE EWTON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1376501775 YOULI ZU MD PHD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1497713895 ABDUS SALEEM MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1386602795 ANNA ELIZABETH SIENKO MD
Individual
Pathology (Anatomic Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1134177611 ROSE CECILE ANTON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1336197623DR. PETER HOWARD JONES M.D.
Individual
Internal Medicine6565 FANNIN ST A601
HOUSTON, TX 77030
(713) 790-5800
1104874650 LUAN DINH TRUONG MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1942258405 STEVEN SIJIU SHEN MD, PHD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1598713059 PHILIP THEO CAGLE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1477501948 MARY REBECCA SCHWARTZ MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1386692853 PATRICIA CHEVEZ-BARRIOS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1033167549 ABIDA K HAQUE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1043268576 THU HUY NGO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225091689, enumerated in the NPI registry as an "individual" on April 07, 2006

The provider is located at 6565 Fannin St Department Of Internal Medicine Houston, Tx 77030 and the phone number is (713) 790-3311

The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.