GWEN S CALLAHAN (NPI# 1487836961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487836961 |
| Entity Type | Individual |
| Full Name | GWEN S CALLAHAN |
| Credential | PA C |
| Practice Address |
50505 Schoenherr Rd Suite 290 Shelby Twp MI 48315-3140 |
| Practice Telephone | 5863140054 |
| Practice Fax Number | 5867316275 |
| Mailing Telephone | 5863140054 |
| Mailing Fax Number | 5867316275 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2010-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005001 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033573340 | Gwen Callahan | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2016-04-12 |
| Street Address |
50505 SCHOENHERR RD SUITE 290 |
| City | SHELBY TWP |
| State | MI |
| Zip Code | 48315-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671449 | David Garbacik | Physical Therapy Assistant | 50505 Schoenherr Rd, Ste 210 P, Shelby Twp, MI 48315-3140 | 2016-11-03 |
| 1033479613 | Pharmascript of Shelby Inc | Pharmacy | 50505 Schoenherr Rd, Suite 130, Shelby Twp, MI 48315-3140 | 2012-05-17 |
| 1760768592 | Brittany Lynn Newell | Physical Therapist | 50505 Schoenherr Rd, Ste 210 P, Shelby Twp, MI 48315-3140 | 2011-10-25 |
| 1417247768 | Adam Gordon Hamilton | Counselor | 50505 Schoenherr Rd, Ste. 270, Shelby Twp, MI 48315-3140 | 2011-04-07 |
| 1083947162 | Pointe Family Dentistry-shelby Pllc | Dentist | 50505 Schoenherr Rd, Suite 170, Shelby Twp, MI 48315 | 2009-09-08 |
| 1558558221 | Vittorio M Morreale Md Plc | Neurological Surgery | 50505 Schoenherr Rd, Suite 200, Shelby Twp, MI 48315-3140 | 2007-09-26 |
| 1679790323 | Bobbi Jo Goodwine | Physical Therapist | 50505 Schoenherr Rd, Ste 210 P, Shelby Twp, MI 48315-3140 | 2007-04-20 |
| 1992839963 | Anthony Paul Cucchi | Orthopaedic Surgery | 50505 Schoenherr Rd, 120, Shelby Twp, MI 48315-3140 | 2007-03-14 |
| 1114087426 | Laura Mcmahon Md PC | Psychiatry & Neurology | 50505 Schoenherr Rd, Suite 270, Shelby Twp, MI 48315 | 2006-12-11 |
| 1104915644 | Heather Renee Costas | Physical Therapist | 50505 Schoenherr Rd, Ste 210 P, Shelby Twp, MI 48315-3140 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TWP |
| Zip Code | 48315 |
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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.