Callahanmd

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CALLAHANMD

Practice address

3425 Bayside Lakes Blvd SE # 10310114
Palm Bay, FL 32909-6867

Phone

(385) 229-9889

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Edward James Callahan III, MDNPI 1255828166

Title

Founder

Phone

(385) 229-9889

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward James Callahan III, MD

  • General Practice Physician
  • Palm Bay, FL
  • NPI 1255828166
  NPD Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1124814223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10281 BENTLEY OAKS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352037",
            "telephone_number": "509-679-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 BAYSIDE LAKES BLVD SE # 10310114",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096867",
            "telephone_number": "385-229-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Crandon Blvd # C33",
            "address_purpose": "LOCATION",
            "city": "Key Biscayne",
            "state": "FL",
            "postal_code": "331491536",
            "country_code": "US",
            "telephone_number": "385-229-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALLAHANMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "385-229-9889",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryuri Cadavid
• Lucienne Cajuste Delva
• Karen Janeiro Calcada, CNA
• Brianna Caldeira
• Edward James Callahan III, MD
• Carolyn Calloway Jennings
• Maggie Cameron
• Tawana Campbell, COTA
• Chaira Zuriel Cancel Marquez
• Karla Francheska Cancel

• General Practice Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.