Active NPI
Elaine H Callahan, MD
- Internal Medicine Physician
- Roseburg, OR
National Provider Identifier
1366498396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD25631
- Practice address
- 2371 NE Stephens St
Suite 200
Roseburg, OR 97470-1372 - Phone
- (541) 672-8533
- Fax
- (541) 672-4993
- NPI assigned
- May 25, 2006
- Last updated
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD25631 | OR | Primary |
Addresses
Primary practice location
2371 NE Stephens St
Suite 200
Roseburg, OR 97470-1372
Mailing address
2371 NE Stephens St
Suite 200
Roseburg, OR 97470-1372
Phone (541) 672-8533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients |
Locations
1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1366498396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2371 NE STEPHENS ST",
"address_2": "SUITE 200",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701372",
"telephone_number": "541-672-8533",
"fax_number": "541-672-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2371 NE STEPHENS ST",
"address_2": "SUITE 200",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701372",
"telephone_number": "541-672-8533",
"fax_number": "541-672-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "ELAINE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD25631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
- California Emergency Physicians Medical Group, a Professional Corp
- California Emergency Physicians Medical Group, a Professional Corp.
- Callahan Alf, LLC (Callahan Village Assisted Living)
- Callahan MC, LLC (Callahan Court Memory Care)
- Callahan Village II, LLC (Callahan Village Assisted Living Community)
- Camille E Campanaro, OTD OTR/L
- Brieanna Lerae Campbell
- Sarah Campbell
- Anthony Cannon
- Cristina Capannolo, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.