Daniel M Calloway, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME64362 Issued in FL

Practice address

6000B 1 Sawgrass Village Circle
Ponte Vedra Beach, FL 32082

Phone

(904) 273-8280

Fax

(904) 273-4724

NPI assigned

Oct 16, 2006

Last updated

Feb 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Daniel M Calloway MD PA

  • Plastic Surgery Physician
  • Ponte Vedra, FL
  • NPI 1508113564
  Authorized official Same address or phone

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1073693834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000B 1 SAWGRASS VILLAGE CIRCLE",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-273-8280",
            "fax_number": "904-273-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000B 1 SAWGRASS VILLAGE CIRCLE",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-273-8280",
            "fax_number": "904-273-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME64362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23029",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Buckley, M.D., F.A.A.P.
• Gerard Joseph Budd, M.D.
• Eric S Burgess, D.M.D.,F.A.C.D.
• Robert W. Burk III, M.D.
• Alexis Buster, RBT
• Katie Longo Cantrell, MD
• Mark A Cappel, MD
• Victor M Cardenas, M.D.
• Jeanette Carlsen
• Mackenzie Carr

• Plastic Surgery Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.