NPIMap

Individual provider Active NPI

Douglas Dee Callahan, D.O.

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1265540355
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5335922-1204 Issued in UT
Practice address
1240 E 100 S
Suite 15a
St George, UT 84790-3001
Phone
(435) 656-5323
Fax
(435) 656-5127
NPI assigned
Aug 28, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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 5335922-1204 UT Primary

Addresses

Primary practice location

1240 E 100 S
Suite 15a
St George, UT 84790-3001

Mailing address

1240 E 100 S
Suite 15a
St George, UT 84790-3001
Phone (435) 656-5323

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
I20040227000672 UT Practitioner - Family Practice 8022904796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions37
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Neuropsychiatry PC PastSince Jun 20, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: douglas.d.callahan@ccp-ut.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1265540355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "SUITE 15A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903001",
            "telephone_number": "435-656-5323",
            "fax_number": "435-656-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "SUITE 15A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903001",
            "telephone_number": "435-656-5323",
            "fax_number": "435-656-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DOUGLAS",
        "middle_name": "DEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5335922-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.