Edith Callahan

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A0001110 Issued in MD

Practice address

7 W Ridgely Rd Ste a
Timonium, MD 21093-5135

Phone

(443) 274-5368

Fax

(410) 252-4590

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073166542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 GIBBONS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142657",
            "telephone_number": "828-506-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W RIDGELY RD STE A",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935135",
            "telephone_number": "443-274-5368",
            "fax_number": "410-252-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DE",
            "license": "J3-0000776",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "A0001110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Burnett, LMSW
• Khyra J Butterfield
• Jamie A Buxton
• Christina Calabrese, LCSW-C
• Annette R Callahan, LCSWC
• Patrice Callanan-Flagle, LCSWC
• Teodoro R Carangal Reyes Carangal, M.D.
• Annmarie Carey
• Amanda Kelly Carney
• Nicholas Caruso, D.C.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.