EDWARD CHARLES CALLAWAY


Address: 32733 193rd Ave Se, Kent, WA 98042-9705
Phone: 9525951100

EDWARD CHARLES CALLAWAY (NPI# 1487628269) 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) 1487628269
Entity Type Individual
Full Name EDWARD CHARLES CALLAWAY
Credential M.D.
Practice Address 32733 193rd Ave Se
Kent
WA 98042-9705
Mailing Address 11995 Singletree Ln
Suite 500
Eden Prairie
MN 55344-5347
Practice Telephone 9525951100
Practice Fax Number 6122944903
Mailing Telephone 9525951301
Mailing Fax Number 6122944903
Enumeration Date 2006-02-16
Last Update Date 2015-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD00046195 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 32733 193RD AVE SE
City KENT
State WA
Zip Code 98042-9705

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1104281526 Kimberly Destefano Licensed Practical Nurse 27446 151st Pl Se, Kent, WA 98042 2015-12-30
1508243403 Dora Arralde Registered Nurse 14620 S.e. 244th St, Kent, WA 98042 2015-04-29
1609299486 Mei Ing Yau Registered Nurse 14311 Se 243rd St, Kent, WA 98042 2014-01-29
1043594658 Karen Ann Little Specialist 28027 140th Lane Se, Kent, WA 98042 2011-09-30
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1720380397 Blanka Karasek Pharmacist 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 2010-12-02
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164461828 Nancy Ann Hallo Radiology 1675 East Main Street, Box 328, Kent, OH 44240-5818 2006-06-06
1861444648 Paul A. Pathadan Radiology 1675 E Main St # 328, Ohio Imaging Associates, Inc, Kent, OH 44240-5818 2006-05-17
1164744819 Robert Jadali Aria Radiology 1675 E Main St, Box 328, Kent, OH 44240-5818 2010-02-23
1558694984 Rajul Pandya Radiology 1675 E Main St, Box 328, Kent, OH 44240-5818 2009-09-16
1649421447 Rajaa Mohammed Almestady Radiology 1675 E Main St, Box 328, Kent, OH 44240 2008-10-10
1316194574 Jonah Ralph Moon Radiology 1675 E Main St, Box 328, Kent, OH 44240-5818 2008-08-19
1285890491 Shashidhara S. Tapasi Murthy Radiology 1675 E Main St, Box 328, Kent, OH 44240-5818 2008-08-07
1336303114 Cory Allen Kutlick Radiology 1675 E Main St, Box 328, Kent, OH 44240-5818 2008-07-11
1942407135 Mark Girish Jablonski Radiology 1675 E Main St, Box 328, Kent, OH 44240-5818 2007-06-29
1477768174 Professional Management Systems, LLC Radiology 1930 State Route 59, Kent, OH 44240 2007-05-14
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Competitor

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City KENT
Zip Code 98042

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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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