Charles M. Callahan, M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME68793 Issued in FL

Legal business name

CHARLES M. CALLAHAN, M.D. P.A.

Practice address

3730 7TH Ter
Suite 302a
Vero Beach, FL 32960-7324

Phone

(772) 569-8094

Fax

(772) 299-5875

NPI assigned

Feb 14, 2007

Last updated

Jul 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Myron Callahan, M.D.

Title

President

Phone

(772) 569-8094

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1053454793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 7TH TER",
            "address_2": "SUITE 302A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607324",
            "telephone_number": "772-569-8094",
            "fax_number": "772-299-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER",
            "address_2": "SUITE 302A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607324",
            "telephone_number": "772-569-8094",
            "fax_number": "772-299-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M. CALLAHAN, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-569-8094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian M Cheevers
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• Specialist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.