PATRICIA M CALLAHAN (NPI# 1023010543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023010543 |
| Entity Type | Individual |
| Full Name | PATRICIA M CALLAHAN |
| Credential | MD |
| Practice Address |
2701 E Enterprise Ave Appleton WI 54913-7729 |
| Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
| Practice Telephone | 9208315050 |
| Mailing Telephone | 9209963200 |
| Mailing Fax Number | 9207385787 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 52382 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301081153 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4657480 | 05 | |
| MI | 4514404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215361704 | Patricia Gabel Callahan | Nurse Practitioner | 210 South Palisade Drive, Suite 101, Santa Maria, CA 93454-5932 | 2013-09-03 |
| 1770109712 | Patricia Lynne Callahan | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1902273543 | Patricia Ann Callahan | Counselor | 248 W 108th St, New York, NY 10025-2956 | 2015-08-31 |
| 1497024566 | Patricia Ann Callahan | Case Manager/Care Coordinator | 111 W 5th St Ste 720, Tulsa, OK 74103-4261 | 2011-12-20 |
| 1386836229 | Patricia Ann Callahan | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-08-14 |
| 1962555953 | Patricia M Callahan | Acupuncturist | 330 Mount Auburn St, Needham 5, Cambridge, MA 02138-5502 | 2007-01-21 |
| 1053481085 | Patricia Callahan | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2006-11-08 |
| 1932295623 | Patricia Pomeroy Callahan | Pharmacist | Va Medical Center, 718 Smyth Road, Manchester, NH 03104 | 2006-10-04 |
| Street Address |
2701 E ENTERPRISE AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-7729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316336811 | Kristin K Lundine | Nurse Practitioner | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2015-01-21 |
| 1225315062 | Victoria M Neuman | Nurse Practitioner | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2011-11-08 |
| 1558567735 | Preetha Y Kurudiyara | Obstetrics & Gynecology | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2007-06-25 |
| 1427186899 | Luke J Tremble | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2007-02-28 |
| 1356424683 | Thedacare Physician Pedicatrics | Non-Pharmacy Dispensing Site | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-10-23 |
| 1346260338 | Hilary Webster | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-20 |
| 1497787014 | Kristin Day | Nurse Practitioner | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1316979008 | Wendy Barton | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1124050703 | Melissa Korittnig | Nurse Practitioner | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1306878970 | Michael Jakubowski | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1831140326 | Kevin J Hayes | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-05-12 |
| 1669866505 | Abby L Smolcich | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2015-03-27 |
| 1508152315 | Basel Katerji | Pediatrics | 1818 N Meade St, Appleton, WI 54911-3454 | 2011-06-21 |
| 1427186899 | Luke J Tremble | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2007-02-28 |
| 1184637795 | Sarah C Campbell | Pediatrics | 1506 S. Oneida Street, Pediatrics, Appleton, WI 54915-1569 | 2006-08-14 |
| 1346260338 | Hilary Webster | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-20 |
| 1316979008 | Wendy Barton | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1306878970 | Michael Jakubowski | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| 1447282017 | Jennifer A Hunt | Pediatrics | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2006-07-06 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.