DR. MATTHEW D CALLISTER (NPI# 1124000948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124000948 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW D CALLISTER |
| Credential | M.D. |
| Practice Address |
2940 E Banner Gateway Dr Suite 450 Gilbert AZ 85234-2168 |
| Practice Telephone | 4802566444 |
| Mailing Telephone | 4802566444 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
32639 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P00187177 | 01 |
| AZ | TRIWEST | 86080015085259C434 | 01 |
| AZ | TRIWEST | 86080015085054B049 | 01 |
| AZ | 855471 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790190619 | Matthew S Callister | Dentist | 1172 E 100 N, Suite 6, Payson, UT 84651-1667 | 2014-06-30 |
| Street Address |
2940 E BANNER GATEWAY DR SUITE 450 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957556 | Beth Erickson Foley | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2005-07-29 |
| 1477090801 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 2940 E Banner Gateway Dr, Suite 350, Gilbert, AZ 85234-2168 | 2017-01-24 |
| 1306203674 | Jennifer Gomez | Physician Assistant | 2940 E Banner Gateway Dr, Gilbert, AZ 85234-2168 | 2016-01-18 |
| 1679941835 | Rebecca Luiten | Genetic Counselor, MS | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 | 2015-09-04 |
| 1497156640 | Jason Theodore Trulson | Physician Assistant | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2014-09-08 |
| 1336561828 | Kathleen M Forgy | Nurse Practitioner | 2940 E Banner Gateway Dr, Gilbert, AZ 85234 | 2014-01-17 |
| 1114357555 | Jennifer Gray | Clinical Nurse Specialist | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-11-21 |
| 1992130991 | Laura Mount | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2013-09-09 |
| 1063855088 | Osna Primary Care, LLC | Family Medicine | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-04-09 |
| 1265771588 | Athena Turnage | Physical Therapist | 2940 E Banner Gateway Dr, Suite 425, Gilbert, AZ 85234-2168 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811304652 | Samuel Evan Day | Radiology | 3645 S Rome St, Gilbert, AZ 85297-7336 | 2014-07-14 |
| 1104230333 | Sarah E Nicholas | Radiology | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2014-06-16 |
| 1154667467 | Gary Vaughn Walker | Radiology | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2012-12-14 |
| 1689950297 | Anna O Likhacheva | Radiology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 | 2011-10-26 |
| 1063593119 | Yerko O Borghero | Radiology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 | 2006-10-17 |
| 1497782916 | Davis A Romney | Radiology | 3686 S Rome St, Gilbert, AZ 85297-7341 | 2006-06-28 |
| 1841269297 | Daniel D Chamberlain | Radiology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 | 2006-03-17 |
| 1437124922 | Emily J Grade | Radiology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 | 2006-02-20 |
| 1184699688 | Jeffrey G Richmond | Radiology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 | 2006-02-20 |
| 1902889652 | Terence J Roberts | Radiology | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 | 2005-11-28 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on DR. MATTHEW D CALLISTER.
| 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.