Amber L Collum, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001495 Issued in IA

Practice address

1803 C Ave
Vinton, IA 52349-1691

Phone

(319) 472-2304

Fax

(319) 472-4579

NPI assigned

Dec 29, 2005

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acollum231555@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Luke's Jones Regional Medical Center

  dba Jones Regional Medical Center Physician Services

  • Emergency Medicine Physician
  • Anamosa, IA
  • NPI 1942397328

  Physician Assistant

  Medicare reassignment NPD (past)
• St Luke's Jones Regional Medical Center

  dba Unitypoint Health Jones Regional Medical Center Urgent Care

  • Rural Health Clinic/Center
  • Anamosa, IA
  • NPI 1275015208
  NPD
• St Luke's Jones Regional Medical Center

  • Community/Retail Pharmacy
  • Anamosa, IA
  • NPI 1932740024
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1730166802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 C AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491691",
            "telephone_number": "515-471-9372",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 C AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491691",
            "telephone_number": "319-472-2304",
            "fax_number": "319-472-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLUM",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Valley Medical Specialists PC
• Cedar Valley Ranch
• Raemi Jo Chavez, PHARMD, MPH
• Rex D Christy, DC
• Clingman Pharmacy, Inc.
• Amber Cook, DPT
• Brandt Corcran
• Ryan Lee Decamp, PTA
• Anna J Demuth
• Douglas W Hanneman DDS PC

• Physician Assistant in Vinton, IA
• Providers in Vinton, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.