Organization Active NPI

Paul R Callegari MD PC

  • Plastic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1598087249
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
19993 Issued in OK
Legal business name
PAUL R CALLEGARI MD PC
Practice address
6585 S. Yale
Suite 1050
Tulsa, OK 74136-8330
Phone
(918) 494-8200
Fax
(918) 494-8204
NPI assigned
Feb 23, 2010
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000682 OK Part B Supplier - Clinic/Group Practice 8729248927 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

6585 S Yale Ave
Ste 1050
Tulsa, OK 74136
Phone (918) 494-8200

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Paul Robert Callegari, M.D.NPI 1295746253
Title
President
Phone
(918) 494-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 19993 OK Primary

Addresses

Primary practice location

6585 S. Yale
Suite 1050
Tulsa, OK 74136-8330

Mailing address

6585 S. Yale
Suite 1050
Tulsa, OK 74136-8330
Phone (918) 494-8200

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1598087249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S. YALE",
            "address_2": "SUITE 1050",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368330",
            "telephone_number": "918-494-8200",
            "fax_number": "918-494-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S. YALE",
            "address_2": "SUITE 1050",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368330",
            "telephone_number": "918-494-8200",
            "fax_number": "918-494-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R CALLEGARI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "CALLEGARI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-494-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "19993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.