Active NPI
John Ronald Campbell McCallum, LMT
- Reflexologist
- Stevenson, WA
National Provider Identifier
1437314283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MA00015294
- Practice address
- 96 NW Columbia Ave.
Stevenson, WA 98648 - Phone
- (509) 427-8203
- Fax
- (509) 427-4246
- NPI assigned
- Jul 22, 2008
- Last updated
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MA00015294 | WA | Primary |
| Reflexologist | 173C00000X | 11506 | OR |
Addresses
Primary practice location
96 NW Columbia Ave.
Stevenson, WA 98648
Mailing address
PO Box 733
Stevenson, WA 98648-0733
Phone (503) 380-6195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11506 | OR | MD | Reflexologist |
| MA00015294 | WA | MD | Reflexologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skamania Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Stevenson, WA
- NPI 1336198068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1437314283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733",
"city": "STEVENSON",
"state": "WA",
"postal_code": "986480733",
"telephone_number": "503-380-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 NW COLUMBIA AVE.",
"city": "STEVENSON",
"state": "WA",
"postal_code": "98648",
"telephone_number": "509-427-8203",
"fax_number": "509-427-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLUM",
"first_name": "JOHN",
"middle_name": "RONALD CAMPBELL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "WA",
"license": "MA00015294",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "OR",
"license": "11506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevenson, WA
- Emma Deerheart Kingston, LMT
- James Albert Lee, RPH
- Kristoffer Lindstrom, MSW,LICSW
- Jadie Matta
- Sandy M May Vigil, LMT
- Bryce Allen McCollum, PSY.D.
- Thomas John Meade, L.AC., SUDPT
- Madilyn Jean Meyers, LMT
- Mid-Columbia Family Physicians,P.S. (Mid Columbia Family Health Center)
- Mid-Columbia Family Physicians,P.S. (Mid Columbia Family Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.