Timothy John McCollum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7261 S Broadway Ste 103
Littleton, CO 80122-8018

Phone

(303) 358-5130

Fax

(720) 510-2704

NPI assigned

Oct 25, 2007

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Colorado Surgical Service PC

  dba Surgical Specialists of Colorado

  • Surgery Physician
  • Golden, CO
  • NPI 1679602593
  Medicare reassignment
• Colorado Trauma Services PC

  • Trauma Surgery Physician
  • Wheat Ridge, CO
  • NPI 1831135391
  Medicare reassignment
• Colorado Surgical Service PC

  dba Surgical Specialists of Colorado, PC

  • Surgery Physician
  • Highlands Ranch, CO
  • NPI 1346977865
  NPD
• Colorado Surgical Service PC

  dba Surgical Specialists of Colorado

  • Surgery Physician
  • Wheat Ridge, CO
  • NPI 1528141637
  NPD (past)
• Senior Care of Colorado, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, CO
  • NPI 1659313062

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1992984025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 S BROADWAY STE 103",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801228018",
            "telephone_number": "303-358-5130",
            "fax_number": "720-510-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 S BROADWAY STE 103",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801228018",
            "telephone_number": "303-358-5130",
            "fax_number": "720-510-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "1684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamee Ravae McCarthy, NP
• Kerry McCarthy
• Steven Gregory McClellan, MSPT
• Evelyn McClelland
• Melanie Joy McClung-Eidsmoe, MA, NCC LPC
• Matthew McCord
• Maxanne McCormick, P.A.
• Allison McCoy
• Jamila Deandra McCoy, MS,CC
• Patrick McCrann, MD

• Physician Assistant in Littleton, CO
• Providers in Littleton, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.