SAMANTHA MYERS CALLOW (NPI# 1215357421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215357421 |
| Entity Type | Individual |
| Full Name | SAMANTHA MYERS CALLOW |
| Other Name | SAMANTHA JEAN MYERS |
| Credential | MD |
| Practice Address |
1 Saint Elizabeth Blvd O Fallon IL 62269-1099 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 6182342120 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 84206 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | ME141650 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 17866 | NV | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 35.132726 | OH | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 01081798A | IN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 036142810 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A148492 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 52783 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 177EPD1Q | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2601 E Roosevelt St, Phoenix, AZ 850084973 | 6023445011 | |
| 1325 N Highland Ave, Aurora, IL 605061449 | 6308592222 | |
| 500 S Cleveland Ave, Westerville, OH 430818971 | 3808984000 | |
| 6501 Coyle Ave, Carmichael, CA 95608 | 9165445550 |
| Street Address |
1 SAINT ELIZABETH BLVD |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629057302 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | General Acute Care Hospital | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2006-01-11 |
| 1568084903 | Amanda Sue Burgesen | Registered Nurse | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2020-05-07 |
| 1235764218 | Courtney J Harris | Nurse Anesthetist, Certified Registered | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2020-03-10 |
| 1811532666 | Cindy Lynette Sanden | Nurse Practitioner | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-11-14 |
| 1558906750 | Nicole Dawn Brueggemann | Physician Assistant | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-11-12 |
| 1912548587 | Adela Redzic | Physician Assistant | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-10-03 |
| 1578128732 | Carly Rambo | Registered Nurse | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-05-03 |
| 1033670187 | Bart S Bowers | Registered Nurse | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-03-29 |
| 1205300795 | Kris Kahler | Radiology | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-01-17 |
| 1033615463 | Shambra Cullum | Nurse Practitioner | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700335080 | Medexpress Urgent Care Illinois, PC | Emergency Medicine | 1711 W Highway 50, O Fallon, IL 62269-1681 | 2016-09-27 |
| 1215080395 | Scott R. Roustio | Emergency Medicine | 8422 Braeswood Estates Dr, O Fallon, IL 62269-4235 | 2007-01-19 |
| 1326094145 | Nancy Jane Niemann Royer | Emergency Medicine | 2 Progress Point Parkway, Progress West Health Care Center Attn Er, O Fallon, MO 63368 | 2006-05-25 |
| 1427016062 | James J Hopper | Emergency Medicine | 916 Talon Drive, Ste 102, O Fallon, IL 62269 | 2006-05-03 |
| 1922081249 | Jacob C. Marshall Jr. | Emergency Medicine | 103 N Oak St, O Fallon, IL 62269-1165 | 2005-11-21 |
| 1487142022 | Vituity - Illinois Auc LLP | Emergency Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269 | 2018-04-30 |
| 1346749090 | Gcxp Inc | Emergency Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-02-08 |
| 1467951640 | Cepamerica Illinois LLP | Emergency Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-02-02 |
| 1437669173 | Infinity-meds LLP | Emergency Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2017-10-09 |
| 1851715692 | Infinity-meds LLP | Emergency Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269-1953 | 2014-02-14 |
| Find all providers in O FALLON | ||||
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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.