IndividualActive
Joseph Mccollom, DO
NPI 1467717520 · Hospice and Palliative Medicine (Internal Medicine) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1467717520
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5315055606 (MI)
Specialties & taxonomies
- Hospice and Palliative Medicine (Internal Medicine) PhysicianPrimary207RH0002XLicense 02005601A (IN)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11050 Parkview Circle Dr
Fort Wayne, IN 46845
Phone: (833) 724-8326
Fax: (260) 266-7585
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Additional practice locations (1)
- 1 Wyoming StDayton, OH 45409Phone: (937) 208-2124
Registry dates
- Enumerated
- 2012-07-05
- Last updated
- 2022-12-20
- Certified
- 2022-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.