Active NPI
Debra Callahan, MD
- Clinical Pathology/Laboratory Medicine Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 25155
- Practice address
- 3614 Meridian St Ste 100
Bellingham, WA 98225-1748 - Phone
- (360) 734-2800
- Fax
- (360) 734-3818
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | S-04-006 | MI | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 25155 | SC | Primary |
Addresses
Primary practice location
3614 Meridian St Ste 100
Bellingham, WA 98225-1748
Mailing address
3560 Meridian St Ste 101
Bellingham, WA 98225-1731
Phone (360) 734-2800
Other practice location 1
1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2141
Other practice location 2
2901 Squalicum Pkwy Ste 100
Bellingham, WA 98225-1851
Phone (360) 734-5400
Other practice location 3
101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-5151
Other practice location 4
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122402 | Other | AK | MEDICAL LICENSE |
| T83120 | Medicaid | SC | |
| MD60357962 | Other | WA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Ohio State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44141 | TN | MD | Pharmacist |
| S-04-006 | MI | MD | Blood Banking & Transfusion Medicine Physician |
| 25155 | SC | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cellnetix Pathology, PLLC | Current | Accepting new patients | |
| Cellnetix Pathology, PLLC | Current | Accepting new patients | |
| Cellnetix Pathology, PLLC | Current | Accepting new patients |
Locations
2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1001 SW Klickitat Way
Ste 205
Seattle, WA 98134
Phone (206) 622-7747
1780 NW Myhre Rd
Ste 1240
Silverdale, WA 98383
Phone (360) 337-8915
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
12501 E Marginal Way S
Ste 200
Tukwila, WA 98168
Phone (206) 576-6050
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Everett, WA
- NPI 1356310866
-
- Anatomic Pathology & Clinical Pathology Physician
- Palmer, AK
- NPI 1508129628
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1598624207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1386668341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 MERIDIAN ST STE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251731",
"telephone_number": "360-734-2800",
"fax_number": "360-734-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 MERIDIAN ST STE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251748",
"telephone_number": "360-734-2800",
"fax_number": "360-734-3818"
}
],
"practiceLocations": [
{
"address_1": "1117 Spring St",
"address_purpose": "LOCATION",
"city": "Friday Harbor",
"state": "WA",
"postal_code": "982509782",
"country_code": "US",
"telephone_number": "360-378-2141",
"fax_number": "360-378-1782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 Squalicum Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251851",
"country_code": "US",
"telephone_number": "360-734-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 N Main St",
"address_purpose": "LOCATION",
"city": "Coupeville",
"state": "WA",
"postal_code": "982393413",
"country_code": "US",
"telephone_number": "360-678-5151",
"fax_number": "360-678-7617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-225-5171",
"fax_number": "907-228-8325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "DEBRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "MI",
"license": "S-04-006",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "SC",
"license": "25155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "122402",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T83120",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD60357962",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.