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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
34004687 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0737680 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1001 Bellefontaine Ave, Lima, OH 458042800 | 4199984575 | 4199984586 |
Street Address |
1005 BELLEFONTAINE AVE SUITE 245 |
City | LIMA |
State | OH |
Zip Code | 45804-2851 |
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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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 |
Find all providers in zip 45804 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477533271 | Melody Stewart-cyrus | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2006-01-18 |
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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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.