Active NPI
Robert Charles Callahan, D.O.
- Family Medicine Physician
- Poulsbo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61438502
- Practice address
- 19245 7TH Ave NE
Poulsbo, WA 98370-6551 - Phone
- (360) 782-3500
- NPI assigned
- Sep 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 074807 | GA | |
| Family Medicine Physician | 207Q00000X | 05-44815 | KS | |
| Family Medicine Physician | 207Q00000X | OP61438502 | WA | Primary |
Addresses
Primary practice location
19245 7TH Ave NE
Poulsbo, WA 98370-6551
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 782-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19245 7TH Ave NE
Poulsbo, WA 98370-6551
Phone (360) 782-3500
Hospital & facility affiliations
- Centerwell Home Health
- CHI Franciscan Health at Home
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074807 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Mosier & Mosier Family Physicians, LLP | Family Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Family Medicine | Past | Accepting new patients |
Locations
2900 Amherst Ave
Ste A
Manhattan, KS 66503
Phone (785) 539-8700
2900 Amherst Ave
Manhattan, KS 66503
Phone (785) 539-8700
19245 7th Ave NE
Poulsbo, WA 98370
Phone (360) 782-3500
9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- robert.callahan@tdc.directbygreenway.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Manhattan, KS
- NPI 1336104595
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silverdale, WA
- NPI 1114958725
-
- Home Health Agency
- University Place, WA
- NPI 1972919249
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1306248018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502",
"telephone_number": "360-782-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19245 7TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706551",
"telephone_number": "360-782-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-24",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "074807",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-44815",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61438502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.