Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chad R McCollum, PA-C

Individual provider Medical Physician Assistant · NPI 1659620672

Chad R McCollum, PA-C is a Physician Assistant in Glendale, Arizona. Qualified in 2012, 14 years ago. Practices with Sonoran Radiology Ltd, a 465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273
Phone: (623) 847-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 — (623) 931-7999

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 5259 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5259 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5259 (AZ)

Record details

NPI number1659620672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESMarch 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sonoran Radiology Ltd — 465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Glendale