Provider Demographics
NPI:1073509956
Name:MCCOLLUM FLAXMAN, NEESA J (MD)
Entity Type:Individual
Prefix:
First Name:NEESA
Middle Name:J
Last Name:MCCOLLUM FLAXMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 CANTRELL RD STE 250
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-2503
Mailing Address - Country:US
Mailing Address - Phone:501-466-7246
Mailing Address - Fax:501-456-7246
Practice Address - Street 1:8201 CANTRELL RD STE 250
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-2503
Practice Address - Country:US
Practice Address - Phone:501-466-7246
Practice Address - Fax:501-456-7246
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-2798207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR171973300OtherUS DEPT. OF LABOR OWCP
AR5M491OtherBLUE CROSS BLUE SHIELD
ARP00001818OtherRAILROAD MEDICARE
ARS03153OtherNOVASYS
AR03080013000OtherQUAL CHOICE (LRPM)
AR71033532430OtherQUAL CHOICE
AR149510001Medicaid
AR770258801OtherARKANSAS BREASTCARE
ARP00001823OtherRAILROAD MEDICARE (LRPM)
AR71033532430OtherQUAL CHOICE