Individual provider Active NPI

Harry Francis Calisch III, M.D.

  • Internal Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1497013361
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32666 Issued in AL
Practice address
77 Bay Bridge Dr
Gulf Breeze, FL 32561-4468
Phone
(850) 912-9156
Fax
(970) 876-6582
NPI assigned
Apr 30, 2012
Last updated
Jun 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32666 AL Primary

Addresses

Primary practice location

77 Bay Bridge Dr
Gulf Breeze, FL 32561-4468

Mailing address

77 Bay Bridge Dr
Gulf Breeze, FL 32561-4468
Phone (850) 912-9156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 30, 2023 through Oct 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32666ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waypoint Direct Primary Care PLLC Internal Medicine Current Accepting new patients

Locations

2601 S Lemay Ave
Unit 25
Fort Collins, CO 80525
Phone (970) 223-4422

77 Bay Bridge Dr
Gulf Breeze, FL 32561
Phone (850) 501-4109

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1497013361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-912-9156",
            "fax_number": "970-876-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-912-9156",
            "fax_number": "970-876-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALISCH",
        "first_name": "HARRY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "32666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.