Active NPI
Paul R Callegari MD PC
- Plastic Surgery Physician
- Tulsa, OK
National Provider Identifier
1598087249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 19993
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120326000682 | OK | Part B Supplier - Clinic/Group Practice | 8729248927 |
Receives reassigned benefits from 1 practitioner Practice locations: Tulsa, OK |
National Provider Directory
National Provider DirectoryLocations
6585 S Yale Ave
Ste 1050
Tulsa, OK 74136
Phone (918) 494-8200
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Robert Callegari, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
{
"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.