John M. Callahan M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208546 Issued in NY

Legal business name

JOHN M. CALLAHAN M.D. P.C.

Practice address

212 Highbridge St
Suite C
Fayetteville, NY 13066-1979

Phone

(315) 637-0477

NPI assigned

Nov 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Michael Callahan, M.D.

Title

Sole Proprietor

Phone

(315) 637-0477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult Primary Care of Fayetteville Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013086404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHBRIDGE ST",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661979",
            "telephone_number": "315-637-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHBRIDGE ST",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661979",
            "telephone_number": "315-637-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. CALLAHAN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "315-637-0477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1936736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Primary Care of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamesville Dewitt CSD
• Izabela Lidia Jaremko
• Mary Elizabeth Jeannotte, PHD
• Jeffrey a. Meltzer, D.M.D.,P.C.
• Laura Jinks
• John P Hemmerlein, MD
• Jill M. Johnstone, PA
• Joseph a. Catania, DDS, P.C.
• Joseph L. Byrne MD PC
• Joseph P. Novek DPM

• Internal Medicine Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.