JARED DAVID MCCALLUM (NPI# 1063949030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063949030 |
| Entity Type | Individual |
| Full Name | JARED DAVID MCCALLUM |
| Credential | MD |
| Practice Address |
Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer 10000 Telegraph Ro Taylor MI 48180 |
| Practice Telephone | 3133757226 |
| Mailing Telephone | 3133757226 |
| Mailing Fax Number | 7168424170 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-01-27 |
| NPI Deactivation Date | 12/28/2017 |
| NPI Reactivation Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 4351027117 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
BEAUMONT HOSPITAL, TAYLOR - ATTN: CHRIS L BIRKENHAUER 10000 TELEGRAPH RO |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| 1295281400 | Brenda Gamez | Licensed Practical Nurse | 14578 Thomas, Taylor, MI 48180 | 2016-08-28 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1497379143 | Ryan J Haley | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-28 |
| 1487276291 | Shaima Khandaker | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-14 |
| 1902428113 | Darryl Jack Chow | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-11 |
| 1114548658 | Rachel Reeves | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-06 |
| 1902427578 | Alexandra Fry | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-05 |
| 1881255941 | Stephen Fung | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2019-06-27 |
| 1194386698 | Jasmine Malhotra | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2019-06-25 |
| 1972164986 | Sushruth Reddy Moku | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2019-06-21 |
| 1619531878 | Zain Khan | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2019-04-23 |
| Find all providers in TAYLOR | ||||
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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.