MARY L CALLISON


Address: 10 Goodall Drive, Sanford, ME 04073-2621
Phone: 2074907790

MARY L CALLISON (NPI# 1285790030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285790030
Entity Type Individual
Full Name MARY L CALLISON
Credential M.D.
Practice Address 10 Goodall Drive
Sanford
ME 04073-2621
Mailing Address 1 Medical Center Dr
Biddeford
ME 04005-9422
Practice Telephone 2074907790
Mailing Telephone 2072837000
Mailing Fax Number 2072829128
Enumeration Date 2006-12-28
Last Update Date 2014-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD18602 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 435883199 05

Other Providers MARY CALLISON

NPI Name Taxonomy Address Enumeration
1720129265 Mary Ann Callison Counselor 212 W Sevier Street, Benton, AR 72015 2007-02-09
1902071061 Mary Callison Counselor 2577 Ne Courtney Dr, Bend, OR 97701-7638 2008-04-29

Office Location

Street Address 10 GOODALL DRIVE
City SANFORD
State ME
Zip Code 04073-2621

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1205031788 Douglas W. Rainforth Specialist Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 2007-06-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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1619463429 Fhpg, LLC Family Medicine 2919 Beechtree Dr, Sanford, NC 27330-6934 2018-07-04
1154849719 Schuyler Karl Behnke Family Medicine 125 Chatham Street, Sanford, NC 27330 2017-09-05
1760921613 Open Water Medical, Pa Family Medicine 109 South Vance St, Sanford, NC 27330 2017-02-13
1912318247 Malathy T Sundaram M.d, LLC Family Medicine 312 Cottage St Ste A, Sanford, ME 04073-1817 2014-05-08
1487998738 Carehere LLC Family Medicine 1403 Medical Plaza Dr Ste 205, Sanford, FL 32771-1047 2012-11-26
1508120734 Jennifer Roehrs Family Medicine 2919 Beechtree Dr Ste 1120, Sanford, NC 27330-6934 2012-07-03
1871899021 Urgent Cares of America North Carolina Inc Family Medicine 724 South Horner Blvd., Sanford, NC 27330 2011-02-07
1447567698 Shri Hari Clinic, LLC Family Medicine 2200 S French Ave, Sanford, FL 32771-4253 2010-09-09
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Competitor

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City SANFORD
Zip Code 04073

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Dataset Information

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.

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