Organization Active NPI

Callahan Clinic, PC

  • General Practice Physician
  • St George, UT
National Provider Identifier
1609046853
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1594201205 Issued in UT
Legal business name
CALLAHAN CLINIC, PC
Practice address
1240 E 100 S
Suite 15-a
St George, UT 84790-3001
Phone
(435) 656-5323
Fax
(435) 656-5127
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Thomas Dee Callahan, M.D.NPI 1043328123
Title
President
Phone
(435) 656-5323

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 1594201205 UT Primary

Addresses

Primary practice location

1240 E 100 S
Suite 15-a
St George, UT 84790-3001

Mailing address

1240 E 100 S
Suite 15-a
St George, UT 84790-3001
Phone (435) 656-5323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000329 UT Part B Supplier - Clinic/Group Practice 0446146864 Receives reassigned benefits from 4 practitioners
Practice locations: St George, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0980189Callahan Clinic PC1240 E 100 S, St George, UT 84790Provider-performed microscopyNov 13, 2026

National Provider Directory

National Provider Directory

Locations

1240 E 100 S
Ste 15A
St George, UT 84790
Phone (435) 656-2459

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1609046853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "SUITE 15-A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903001",
            "telephone_number": "435-656-5323",
            "fax_number": "435-656-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S",
            "address_2": "SUITE 15-A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903001",
            "telephone_number": "435-656-5323",
            "fax_number": "435-656-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-656-5323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "1594201205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.