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DR. DAVE MCCOLLUM M.D.
NPI 1154360808
Emergency Medicine in Waconia, MN

Active since June 06, 2006
500 S MAPLE ST, WACONIA, MN 55387(952) 442-2191 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dave Mccollum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVE MCCOLLUM M.D. (NPI 1154360808) is an individual emergency medicine provider in Waconia, Minnesota, licensed in Minnesota (25697) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1154360808
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DAVE MCCOLLUMCredential: M.D.
Location Address500 S MAPLE STWaconia, MN 55387-1752
Mailing AddressPo Box 81Chaska, MN 55318-0081 · (888) 398-3327
Phone(952) 442-2191
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 4, 2007
✔ NPI 1154360808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 25697
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
500 S MAPLE ST, Waconia, MN 55387
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Other Identifiers 11

Medicare PIN080037342
Other0C319MCBcbs
Other39-03774Medica Emerg
Other106062Ucare
Medicare UPINA44313
Medicare PINC08414
Other0235010Preferred One
OtherHP13930Health Partners
Medicaid933800400MN
Medicare PINCS6766
Medicare PIN089005942

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY DUANE MARTIN CRNA
Nurse Anesthetist, Certified Registered
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
RIDGEVIEW MEDICAL CENTER
Non-Pharmacy Dispensing Site
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 653-2528
SARA MAURER CNP
Nurse Practitioner (Adult Health)
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
DR. BRUCE HUBBARD M.D.
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
CYNTHIA MOHNEN BRICK CRNA
Nurse Anesthetist, Certified Registered
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
ANDREW TYLER MILLER MD
Radiology (Diagnostic Radiology)
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
MARY K. JORDAN LICSW
Social Worker
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
RIDGEVIEW ANESTHESIA ASSOC, P.A.
Anesthesiology
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dave Mccollum's NPI number?

The NPI number for Dave Mccollum is 1154360808. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Dave Mccollum located?

Dave Mccollum practices at 500 S Maple St, Waconia, MN 55387. The listed phone number is (952) 442-2191.

What is Dave Mccollum's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Dave Mccollum was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.