SCOT C CALLAHAN (NPI# 1023096427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023096427 |
| Entity Type | Individual |
| Full Name | SCOT C CALLAHAN |
| Credential | MD |
| Practice Address |
101 E Brunson St Ste 100 Enterprise AL 36330 |
| Mailing Address |
Po Box 311464 Enterprise AL 36331 |
| Practice Telephone | 3343936673 |
| Practice Fax Number | 3343479599 |
| Mailing Telephone | 3343936673 |
| Mailing Fax Number | 3343479599 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 18006 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 77626 | 01 | |
| AL | 77626 | 05 |
| Street Address |
101 E BRUNSON ST STE 100 |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627109 | David Nelson Rhyne | Internal Medicine | 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 | 2005-08-25 |
| 1932587680 | Laura Driggers | Nurse Practitioner | 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 | 2015-05-14 |
| 1255763348 | William W. Kettunen, M.d. LLC | Surgery | 101 E Brunson St, Suite 110, Enterprise, AL 36330-2526 | 2013-07-31 |
| 1578904488 | Judith Waters Holloway | Nurse Practitioner | 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 | 2013-07-09 |
| 1376883991 | Candace Ohm Henderson | Nurse Practitioner | 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 | 2013-02-19 |
| 1275890840 | Scot C. Callahan, M.d., P.C. | Otolaryngology | 101 E Brunson St, Suite 100, Enterprise, AL 36330-2526 | 2012-04-19 |
| 1033357744 | Scott A. Charlton, Md, PC | Otolaryngology | 101 E Brunson St, Suite 102, Enterprise, AL 36330-2526 | 2009-02-03 |
| 1528227220 | Leeann Mcaliley Kettunen | Family Medicine | 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 | 2008-06-06 |
| 1588745277 | West Surgical Pa | Specialist | 101 E Brunson St, Suite 110, Enterprise, AL 36330-2526 | 2006-10-18 |
| 1639266018 | Daniel E. Gadzala, M.d. | Specialist | 101 E Brunson St, Suite 110, Enterprise, AL 36330-2526 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275890840 | Scot C. Callahan, M.d., P.C. | Otolaryngology | 101 E Brunson St, Suite 100, Enterprise, AL 36330-2526 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1669837977 | Willard Ott | Otolaryngology | 4224 Sharpsburg Dr, Mountain Brk, AL 35213-2208 | 2015-12-31 |
| 1457724346 | Bw Physician Practices, LLC | Otolaryngology | 513 Brookwood Blvd Ste 260, Birmingham, AL 35209-7844 | 2015-11-02 |
| 1881095149 | Manjunath Maskal Krishnaiah | Otolaryngology | 1808 7 Avenue South, 563 Boshell Building, Birmingham, AL 35292 | 2014-09-05 |
| 1326464066 | Ent South, PC | Otolaryngology | 1733 W Main St Ste 100, Dothan, AL 36301-1345 | 2014-03-05 |
| 1881017424 | Etowah Ear Nose & Throat, LLC | Otolaryngology | 1026 Goodyear Ave - Ste. 100b, Gadsden, AL 35903-1194 | 2014-02-03 |
| 1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1558622191 | Michael Latshaw | Otolaryngology | 985 9th Ave Sw Ste 101, Bessemer, AL 35022-7810 | 2012-05-30 |
| 1215257258 | Edward Ward Stevenson | Otolaryngology | 400 University Park Drive, Apt 194, Homewood, AL 35209 | 2010-06-01 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
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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.