Carol A Callahan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P00357 Issued in CT

Practice address

1817 Black Rock Tpke
Ste 8
Fairfield, CT 06825-3546

Phone

(203) 330-8080

Fax

(203) 334-6924

NPI assigned

Aug 26, 2005

Last updated

Mar 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Medical Footcare, LLC

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  • Fairfield, CT
  • NPI 1376619924
  Authorized official Same address or phone
• Abraham Yale & Carol Callahan PTRS Associated Podiatrists of N Haven

  • Foot Surgery Podiatrist
  • North Haven, CT
  • NPI 1932371945
  NPD (past)
• Associated Podiatrist of Fairfield, LLC

  • Foot Surgery Podiatrist
  • Fairfield, CT
  • NPI 1700985835
  NPD (past)
• Associated Podiatrists of North Haven

  • Foot Surgery Podiatrist
  • North Haven, CT
  • NPI 1295850204
  NPD (past)
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1861485633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 BLACK ROCK TPKE",
            "address_2": "STE 8",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253546",
            "telephone_number": "203-330-8080",
            "fax_number": "203-334-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 BLACK ROCK TPKE",
            "address_2": "STE 8",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253546",
            "telephone_number": "203-330-8080",
            "fax_number": "203-334-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "P00357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5454010001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C&B Psychological Services, LLC
• Kim Cabral, OTR
• Christine Cabugao
• Rebecca R Cahill, LADC
• Kelly Anne Caione, APRN
• Nicole Dunay Calloway
• Natalia Blanca Camacho
• Cambridge Manor of Fairfield LLC
• David A Cameron, PT
• Tracy Campbell

• Podiatrist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.