Callaway Internal Medicine Group in Fulton - Specialist
Callaway Internal Medicine Group - NPI 1205910874
Callaway Internal Medicine Group is a Specialist in Fulton, Missouri. Callaway Internal Medicine Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Callaway Internal Medicine Group is 1205910874. The last update date is 2020-08-22.
Callaway Internal Medicine Group's current location address is 2613 Fairway Dr, Fulton, Missouri. You can contact this provider via phone number 5736424242. The mailing address for Callaway Internal Medicine Group is 2613 Fairway Dr, Fulton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Callaway Internal Medicine Group |
|---|---|
| Address | 2613 Fairway Dr, Fulton, Missouri |
| Phone Number | 5736424242 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Wilson M Frederick |
| Credentials | M.D. |
| Telephone Number | 5736424242 |
NPI Number Detail
| NPI Number | 1205910874 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2613 Fairway Dr |
|---|---|
| City | Fulton |
| State | Missouri (MO) |
| Post Code | 652513936 |
| Phone Number | 5736424242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 113229 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Callaway Internal Medicine Group by the Centers for Medicare & Medicaid Services?
The Callaway Internal Medicine Group has been issued the NPI (National Provider Identifier) 1205910874. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Callaway Internal Medicine Group located?
The Callaway Internal Medicine Group is located at 2613 Fairway Dr, Fulton, MO 652513936.
What is the area of specialization for Callaway Internal Medicine Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Callaway Internal Medicine Group is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205910874 to Callaway Internal Medicine Group?
The Callaway Internal Medicine Group received its 1205910874 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the details pertaining to Callaway Internal Medicine Group last refreshed?
The information related to the Callaway Internal Medicine Group, including its address, specialty, and other relevant details, was last updated on 2020-08-22.