McCallum Medical PA

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

E-3712 Issued in AR

Legal business name

MCCALLUM MEDICAL PA

Practice address

1923 N Tyler St
Little Rock, AR 72207

Phone

(501) 626-9478

NPI assigned

Mar 30, 2017

Last updated

Mar 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Brian McCallum, M.D.NPI 1205862315

Title

Principal

Phone

(501) 626-9478

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Brian McCallum, M.D.

  • Emergency Medicine Physician
  • Benton, AR
  • NPI 1205862315
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1275065146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1731",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "95299",
            "telephone_number": "501-626-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N TYLER ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72207",
            "telephone_number": "501-626-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALLUM MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "501-626-9478",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AR",
            "license": "E-3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juli McCall, R.D.
• Sanchia N McCall
• Tomie McCall Jr.
• Theresa G McCallie, MD
• Candace McCallister, LPC
• Gretchen McCallum, APRN
• Jennifer Anne McCallum, M.D.
• Yolanda McCallum, M. ED & LPC
• Keith McCalman Jr., MD
• Macy Alexandra McCammon, RN

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.