Regional Cardiology PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

REGIONAL CARDIOLOGY PA

Practice address

900 E 13TH St
Suite 200
Grove, OK 74344-2975

Phone

(918) 786-7667

Fax

(918) 786-7699

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul E Callicoat Jr., MD

Title

Physician

Phone

(918) 786-7667

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225037229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450968",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743450968",
            "telephone_number": "918-786-7667",
            "fax_number": "918-786-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 13TH ST",
            "address_2": "SUITE 200",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442975",
            "telephone_number": "918-786-7667",
            "fax_number": "918-786-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALLICOAT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-786-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "I8-1224365-74344A001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3609",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100723550A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE FOR LIFE",
            "identifier": "I8-1224365-74344",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Allison Ratermann, PT
• Jack Louis Rector, DPH
• W. Jay Rector II, M. ED
• Casey Lynn Reed
• Cheryl Jean Reed
• Renee J Russell MD Inc
• Renee J. Zarintash, M.D., P.L.L.C
• Respiratory Specialties
• Tamary Suzann Rhodes, LMT
• Destiny Rice

• Interventional Cardiology Physician in Grove, OK
• Providers in Grove, OK by specialty
• Interventional Cardiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.