Individual provider Active NPI

George Franklin Calloway II, M.D.

  • Ophthalmology Physician
  • Westerville, OH
National Provider Identifier
1033104518
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35038419 Issued in OH
Practice address
495 Cooper Rd
Westerville, OH 43081-8723
Phone
(614) 891-7878
Fax
(614) 891-6888
NPI assigned
Sep 12, 2005
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 35038419C OH
Ophthalmology Physician 207W00000X 35038419 OH Primary

Addresses

Primary practice location

495 Cooper Rd
Westerville, OH 43081-8723

Mailing address

495 Cooper Rd
Suite 415
Westerville, OH 43081-8723
Phone (614) 891-7878

Other identifiers 1

IdentifierTypeStateIssuer
0380967MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000461 OH Practitioner - Ophthalmology 3072796168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Cooper Rd
Suite 415
Westerville, OH 43081-8723
Phone (614) 891-7878

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35038419COHMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Ophthalmology, Inc Ophthalmology CurrentSince Oct 1, 1990 Accepting new patients
Ohio Eye Surgery Center Past Accepting new patients
Eye Specialist Inc Ophthalmology Past Accepting new patients

Locations

495 Cooper Rd
Ste 415
Westerville, OH 43081
Phone (614) 383-6000

Interoperability endpoints

  • Direct secure messaging: george.calloway.1@22809.direct.athenahealth.com
  • Direct secure messaging: george.calloway@mrs-oh.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/22809/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1033104518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 COOPER RD",
            "address_2": "SUITE 415",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818723",
            "telephone_number": "614-891-7878",
            "fax_number": "614-891-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 COOPER RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818723",
            "telephone_number": "614-891-7878",
            "fax_number": "614-891-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "GEORGE",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35038419C",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35038419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.