NPIMap

Individual provider Active NPI

Thomas Callahan, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1164861027
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2288 Issued in AZ
Practice address
2927 N 7TH Ave
Peppertree Building
Phoenix, AZ 85013-4102
Phone
(602) 406-3153
Fax
(602) 406-7176
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2288 AZ Primary

Addresses

Primary practice location

2927 N 7TH Ave
Peppertree Building
Phoenix, AZ 85013-4102

Mailing address

1240 E 100 S
Ste 15a
St George, UT 84790-3003
Phone (602) 406-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504001930 UT Practitioner - Family Practice 9335449057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Callahan Clinic, PCGroup PAC ID 0446146864, 4 clinicians

Practice addresses (Care Compare)

1240 E 100
Suite 15a
St George, UT 84790-3003
Phone (435) 656-5323

Hospital & facility affiliations

  • Intermountain Health Home Health - St. George Home health agency, St George, UT, CCN 467033
  • Enhabit Home Health of Southern Utah Home health agency, St George, UT, CCN 467055
  • Applegate Homecare Home health agency, South Ogden, UT, CCN 467025
  • Applegate Hospice St. George Hospice, St. George, UT, CCN 461534
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2288AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Callahan Clinic, PC CurrentSince Jul 1, 2016 Accepting new patients
Phoenician Medical Center, Inc Family Medicine Past Accepting new patients
Red Rock Neuropsychiatry PC PastSince Jul 1, 2016 Accepting new patients

Locations

1240 E 100 S
Ste 15A
St George, UT 84790
Phone (435) 656-2459

Interoperability endpoints

  • Direct secure messaging: thomas.c.callahan@ccp-ut.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Applegate Hospice St. GeorgeSt George, UT, CCN 461534 Hospice Contracted Managing Employee Apr 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 5

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1164861027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "STE 15A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903003",
            "telephone_number": "602-406-3153",
            "fax_number": "602-406-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 N 7TH AVE",
            "address_2": "PEPPERTREE BUILDING",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134102",
            "telephone_number": "602-406-3153",
            "fax_number": "602-406-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.