GINA MARIE O'CALLAGHAN (NPI# 1003239500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003239500 |
| Entity Type | Individual |
| Full Name | GINA MARIE O'CALLAGHAN |
| Credential | PA-C |
| Practice Address |
3000 Old Centre Rd Portage MI 49024-4883 |
| Mailing Address |
2180 Henry Tecklenburg Dr Charleston SC 29414-5798 |
| Practice Telephone | 2693217546 |
| Practice Fax Number | 2693211705 |
| Mailing Telephone | 8435568886 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006884 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2108 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730540337 | Gina O'callaghan | Physical Therapy Assistant | 52 Rising Sun Town Ctr, Rising Sun, MD 21911-1902 | 2016-03-10 |
| Street Address |
3000 OLD CENTRE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518925528 | Craig Albert Mohney | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-05-02 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1932658184 | Kayla Chapman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024 | 2016-09-29 |
| 1225411705 | Ryan Timothy Jones | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2015-07-02 |
| 1407281108 | Cristy J Burghardt | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2013-09-12 |
| 1053754168 | Stephanie Sabater-geib | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2013-04-09 |
| 1770730053 | Emily Elizabeth Roberts | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2008-08-19 |
| 1619179710 | Jessica Elaine Liggett | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2007-06-01 |
| 1285745950 | Jeffry Scott Freeman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-08-31 |
| 1508875477 | Jennifer M Williford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1699959593 | Jennifer Anne Graslie | Physician Assistant | 2847 New Pinery Road, Portage, WI 53901-0387 | 2007-12-27 |
| 1962445080 | Autumn Nicole Hopkins | Physician Assistant | 6100 Newport Road, Suite 100, Portage, MI 49002 | 2006-06-14 |
| 1396749800 | Lucetta Lynne Lyford | Physician Assistant | 430 W. Centre Ave., Portage, MI 49024 | 2005-06-13 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1750876694 | Morgan Buchholz | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-06-23 |
| 1316466345 | Zane Stampfly | Physician Assistant | 7775 Angling Rd, Portage, MI 49024-7427 | 2017-09-11 |
| 1174050918 | Matthew Gregory Rajala | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-05-11 |
| 1063886505 | Pamela Bartley | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-11-20 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.