MARY K O'CALLAGHAN DO PC (NPI# 1467650614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467650614 |
| Entity Type | Organization |
| Organization Name | MARY K O'CALLAGHAN DO PC |
| Practice Address |
922 Lawndale St Ludington MI 49431-1928 |
| Practice Telephone | 2318457380 |
| Mailing Telephone | 2318457380 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. MARY KEATING O'CALLAGHAN (PHYSICIAN) |
| Authorized Official Telephone | 2318457380 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 009391 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC GROUP | 1155300045 | 01 |
| MI | BCBS # | 5530004 | 01 |
| MI | MEDICARE RR GROUP | DG2738 | 01 |
| MI | DEA | BO0518834 | 01 |
| MI | 2736118 | 05 |
| Street Address |
922 LAWNDALE ST |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789568 | Jennifer Lynn Miller | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2005-06-09 |
| 1578178398 | Madeline Jane Beld | Nurse Practitioner | 922 Lawndale St, Ludington, MI 49431-1928 | 2020-09-09 |
| 1053821033 | Amelia Joy Ashcraft | Physician Assistant | 922 Lawndale St, Ludington, MI 49431-1928 | 2017-10-04 |
| 1033630082 | Ashleigh Elaine Graham | Physician Assistant | 922 Lawndale St, Ludington, MI 49431-1928 | 2017-06-29 |
| 1578913265 | Matthew William Holden | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2016-06-14 |
| 1346628518 | Memorial Medical Center of West Michigan | Clinic/Center | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-05-08 |
| 1225424898 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-04-10 |
| 1447643689 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-03-12 |
| 1942608005 | Andrea Sylvester | Nurse Practitioner | 922 Lawndale St, Ludington, MI 49431-1928 | 2014-12-05 |
| 1043631054 | Spectrum Health Primary Care Partners | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2013-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369884 | Mary Keating Ocallaghan | Internal Medicine | 889 N Jebavy Dr, Ludington, MI 49431-1208 | 2005-07-11 |
| 1669017380 | Hospitalist Medicine Physicians of Michigan - Kalamazoo, Pllc | Internal Medicine | 1 Atkinson Dr, Ludington, MI 49431-1906 | 2019-11-18 |
| 1225424898 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-04-10 |
| 1447643689 | Memorial Medical Center of West Michigan | Internal Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-03-12 |
| 1063684769 | Bryan Anthony Kovas | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2008-04-02 |
| 1669504882 | Persson Internal Medicine,p.c | Internal Medicine | 5 N Atkinson Dr, Suite #207, Ludington, MI 49431-2918 | 2007-03-12 |
| 1033288840 | John Craig Persson | Internal Medicine | 5 Atkinson Drive, Ste #207, Ludington, MI 49431 | 2006-11-07 |
| 1316054125 | Ralph Avedisian | Internal Medicine | 7 N Atkinson Dr, Suite 111, Ludington, MI 49431-1953 | 2006-08-25 |
| 1326155144 | Zane M Knoer | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-08-25 |
| 1891743837 | Amy L Beeman | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2006-05-04 |
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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.