Patrick O'Callahan, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

C53489 Issued in CA

Practice address

107 Wilcox Rd
Suite 105
Stonington, CT 06378-2614

Phone

(650) 380-4395

NPI assigned

Oct 12, 2006

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lawrence and Memorial Hospital, Inc.

  dba Lawrence and Memorial Hospital

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1386733988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HARBOR BLVD",
            "address_2": "SUITE 600",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053733",
            "telephone_number": "714-978-7488",
            "fax_number": "860-516-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WILCOX RD",
            "address_2": "SUITE 105",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782614",
            "telephone_number": "650-380-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CALLAHAN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C53489",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "C53489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "060646704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Leigh Mowry, MS
• Nancy C. Ferrero, LMFT, LLC
• Kathryn Marie Noonan, LCSW
• Elizabeth Nuesch, RBT
• Michael Patrick O'Brien, MD
• Katherine O'Leary
• Oak Mountain Therapy, LLC
• Oak Mountain Training and Therapy Collective
• Maria Ocallaghan, LMT
• Leslie Ellen Orenstein, MSW

• Preventive Medicine/Occupational Environmental Medicine Physician in Stonington, CT
• Providers in Stonington, CT by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.