Individual provider Active NPI

William Charles O'Callahan Jr., MD

  • Emergency Medicine Physician
  • Holden, MA
National Provider Identifier
1114964186
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
79001 Issued in MA
Practice address
5 Shrewsbury St Ste D
Holden, MA 01520-1960
Phone
(508) 829-3800
Fax
(508) 829-3802
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 79001 MA Primary

Addresses

Primary practice location

5 Shrewsbury St Ste D
Holden, MA 01520-1960

Mailing address

5 Shrewsbury St Ste D
Holden, MA 01520-1960
Phone (508) 829-3800

Other practice location 1

2040 Boston Rd Ste 5
Wilbraham, MA 01095-1380
Phone (413) 599-3800

Other practice location 2

2040 Boston Road
Ste 5
Wilbraham, MA 01095-1380
Phone (413) 599-3800

Other practice location 3

688 Bliss Road
Longmeadow, MA 01106-1534
Phone (413) 567-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080506000317 MA Practitioner - Emergency Medicine 3072692805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists PCGroup PAC ID 7315198488, 10 clinicians

Practice addresses (Care Compare)

5 Shrewsbury St
Suite D
Holden, MA 01520-1960
Phone (508) 829-3800

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79001MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Specialists PC Emergency Medicine CurrentSince Nov 17, 2021 Accepting new patients
Urgent Care Specialists PC Emergency Medicine CurrentSince Nov 17, 2021 Accepting new patients

Locations

5 Shrewsbury St
Ste D
Holden, MA 01520
Phone (508) 829-3800

688 Bliss Rd
Longmeadow, MA 01106
Phone (413) 567-0011

2040 Boston Rd
Ste 5
Wilbraham, MA 01095
Phone (413) 599-3800

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1114964186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHREWSBURY ST STE D",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201960",
            "telephone_number": "508-829-3800",
            "fax_number": "508-829-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHREWSBURY ST STE D",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201960",
            "telephone_number": "508-829-3800",
            "fax_number": "508-829-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Boston Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951380",
            "country_code": "US",
            "telephone_number": "413-599-3800",
            "fax_number": "413-279-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Boston Road",
            "address_2": "Ste 5",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951380",
            "country_code": "US",
            "telephone_number": "413-599-3800",
            "fax_number": "413-279-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 Bliss Road",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011061534",
            "country_code": "US",
            "telephone_number": "413-567-0011",
            "fax_number": "413-567-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CALLAHAN",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "79001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

Verify at the official NPI Registry.