DR. DANIEL MICHAEL CALLISTO


Address: 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851
Phone: 4199988230

DR. DANIEL MICHAEL CALLISTO (NPI# 1730247636) 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) 1730247636
Entity Type Individual
Full Name DR. DANIEL MICHAEL CALLISTO
Credential D.O.
Practice Address 1005 Bellefontaine Ave
Suite 245
Lima
OH 45804-2851
Mailing Address 1001 Bellefontaine Ave
Lima
OH 45804-2800
Practice Telephone 4199988230
Practice Fax Number 4199988231
Mailing Telephone 4199984575
Mailing Fax Number 4199984586
Enumeration Date 2006-12-04
Last Update Date 2020-09-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
34004687 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0737680 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1001 Bellefontaine Ave, Lima, OH 458042800 4199984575 4199984586

Office Location

Street Address 1005 BELLEFONTAINE AVE
SUITE 245
City LIMA
State OH
Zip Code 45804-2851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053313171 Marcus F Cox Surgery 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 2005-08-10
1003196114 Stacy Jo Klass Nurse Practitioner 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804-2851 2011-08-19
1710121132 Nasim Mastouri Internal Medicine 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 2009-04-29
1871746735 Cynthia Grace Trent Nurse Practitioner 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2008-10-23
1215109145 Alliance for Women's Health Inc Obstetrics & Gynecology 1005 Bellefontaine Ave, Suite 150, Lima, OH 45805 2008-04-01
1558542522 Kerry Ann Stedke Physician Assistant 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2007-11-19
1457565061 Margarite Marie Angelopoulos Pediatrics 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 2007-05-10
1285789362 Women's Health for Life, Inc. Obstetrics & Gynecology 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2007-01-25
1497806897 Jennifer Fern Niesen Obstetrics & Gynecology 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2007-01-15
1669521423 Judith E Rigoni Pediatrics 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 2007-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134729817 Luke Holliday Pharmacist Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 2020-10-30
1306482393 Olympia Monik Johnson Case Manager/Care Coordinator 799 S. Main St, Lima, OH 45804 2019-11-25
1982260139 Jenna Renee Warnecke Speech-Language Pathologist Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 2019-05-14
1942728282 Premier Care of Ohio, LLC. Community/Behavioral Health 2727 St. Johns Rd, Ste D, Lima, OH 45804 2017-09-07
1093250078 Gevette Love Counselor 311 E. Market St., Lima, OH 45804 2016-12-29
1134595416 Rewa A Banks Nurse Practitioner 2895 Harding Hwy Ste C, Lima, OH 45804 2015-08-20
1295148195 Adaptive Medical Marketing, Inc Durable Medical Equipment & Medical Supplies 1378 Bellefontaine Ave, Lima, OH 45804 2014-06-09
1265771869 Laura B Hile Nurse Practitioner 1875 South Dixie Highway, Lima, OH 45804 2013-02-04
1184960593 Jenna L Kimmel Nurse Practitioner 799 S. Main St., Lima, OH 45804 2012-12-13
1437398054 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2450 Mandolin Drive, Lima, OH 45804 2009-02-05
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477533271 Melody Stewart-cyrus Pediatrics 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 2006-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396264453 Sinem Akgul Pediatrics Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 2017-09-10
1871890764 Saroj Ajitkumar Pagedar Pediatrics 2317 Brigadoon Ct, Westlake, OH 44145-3024 2011-02-11
1801001078 Ernesto Cabales Bunye Pediatrics 13501 Bennington Blvd, Middleburg Heights, OH 44130-7131 2007-05-11
1295812261 Hanan Nashed Pediatrics 12700 Lake Ave, Suite 705, Lakewood, OH 44107-1576 2006-11-01
1679659890 Julie Smith Fennig Pediatrics 1775 Delco Park Dr, Kettering, OH 45420-1398 2006-10-31
1891881504 Walter R Lucas Pediatrics 17075 Pearl Road, Strongsville, OH 44136 2006-10-04
1548354665 Mary Brigid Chitwood Pediatrics 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 2006-10-03
1033219365 Kevin A. Horvath Pediatrics 1483 West Main Street, Tipp City, OH 45371 2006-09-25
1366544926 Enaas F Kasheer Pediatrics 3966 Brown Park Dr, Suites C & D, Hilliard, OH 43026-1164 2006-09-03
1851306310 Trihealth Q, LLC Pediatrics 3621 Rossgate Ct, Hamilton, OH 45013-9558 2006-07-30
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Competitor

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City LIMA
Zip Code 45804

Improve Information

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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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