Leah Callan (NPI# 1861473977, PAC ID# 1557345808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861473977 |
| PAC ID by PECOS | 1557345808 |
| Professional Enrollment ID | I20040615001208 |
| Full Name | Leah Callan |
| Organization Legal Name | TRISTAN MEDICAL PC |
| Address |
210 Washington St Fairhaven MA 02719-4044 |
| Phone Number | 5088800012117 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739141037 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220073 | MORTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 210 Washington St, Fairhaven, MA 02719-4044 | 5088800012117 | TRISTAN MEDICAL PC |
| Organization Legal Name | TRISTAN MEDICAL PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Cox | Nurse Practitioner | Tristan Medical PC | 184 W Main St, Norton, MA 02766-1243 |
| Brett Stecker | Family Medicine | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Eric N Haas | Physician Assistant | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Terri A Sullivan | Nurse Practitioner | Tristan Medical PC | 184 W Main St, Norton, MA 02766-1243 |
| Emily Eynatian | Physician Assistant | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Mark Mavilia | Nurse Practitioner | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Yvonne R Rizk | Interventional Pain Management | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Julie S Thibert | Internal Medicine | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Kelsey Laurel Murphy | Nurse Practitioner | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Christiana Akanegbu | Nurse Practitioner | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Street Address |
210 WASHINGTON ST |
| City | FAIRHAVEN |
| State | MA |
| Zip | 02719-4044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devon C Barley | Chiropractic | Barley Family Healthcare and Rehabilitation PC | 270 Huttleston Ave, Fairhaven, MA 02719-1605 |
| Dennis Barley | Chiropractic | Barley Family Healthcare and Rehabilitation PC | 270 Huttleston Ave, Fairhaven, MA 02719-1605 |
| Theresa Soucie | Chiropractic | Barley Family Healthcare and Rehabilitation PC | 270 Huttleston Ave, Fairhaven, MA 02719-1605 |
| Joseph Sheridan | Chiropractic | Barley Family Healthcare and Rehabilitation PC | 270 Huttleston Ave, Fairhaven, MA 02719-1605 |
| Elizabeth Demedeiros-ducharme | Psychologist, Clinical | 25 Bayview Ave, Fairhaven, MA 02719-1801 | |
| Chester T Baron | Chiropractic | 7 A Laurel St, Fairhaven, MA 02719-2738 | |
| Elizabeth L Bennett | Psychologist, Clinical | 78 Middle St, Fairhaven, MA 02719-3050 | |
| Ronald J Mastrolia Jr. | Optometry | Eye Health Associates Inc | 70 Huttleston Ave, Fairhaven, MA 02719-3140 |
| Brian K Bowcock | Chiropractic | 84 Huttleston Ave, Fairhaven, MA 02719-3140 | |
| Timothy S Pedersen | Physical Therapy | Synergy Healthcare Corp | 147 B Washington St, Fairhaven, MA 02719-4013 |
| Find all physicians in zip 02719 | |||
| City | FAIRHAVEN |
| Zip Code | 02719 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAIRHAVEN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.