SUSAN CALLAWAY (NPI# 1083620363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083620363 |
| Entity Type | Individual |
| Full Name | SUSAN CALLAWAY |
| Credential | MD |
| Practice Address |
3828 S 1st St Austin TX 78704-7048 |
| Mailing Address |
Po Box 26726 Austin TX 78755-0726 |
| Practice Telephone | 5124431311 |
| Practice Fax Number | 5124456457 |
| Mailing Telephone | 5124078686 |
| Mailing Fax Number | 5124214489 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E6269 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 105142703 | 05 | |
| TX | 105142701 | 05 | |
| TX | 105142704 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356621734 | Susan A Callaway | Registered Nurse | 140 W 6th St, Oswego, NY 13126-2525 | 2011-08-17 |
| 1881638922 | Susan E Callaway | Physical Therapist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-16 |
| Street Address |
3828 S 1ST ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550919 | Jairo L Bermudez | Internal Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2005-09-30 |
| 1194117119 | Beverly Anne Butler | Clinical Nurse Specialist | 3828 S 1st St, Austin, TX 78704-7048 | 2015-02-27 |
| 1295127306 | Phillip Kirk Atkins | Nurse Practitioner | 3828 S 1st St, Austin, TX 78704-7048 | 2015-02-26 |
| 1710307962 | Jonathan Alan Lee | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2014-04-25 |
| 1699108050 | Dana Marie Garcia | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2013-08-20 |
| 1336497650 | Judith Joseph Chedville | Clinical Nurse Specialist | 3828 S 1st St, Austin, TX 78704-7048 | 2012-08-16 |
| 1447482161 | Kathleen Leslie Kraft | Nurse Practitioner | 3828 S 1st St, Austin, TX 78704-7048 | 2009-08-13 |
| 1497981625 | Sharon Liu | Internal Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2009-06-02 |
| 1649429556 | Omerine Yembe Aseh | Family Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2008-09-16 |
| 1720286347 | Hope Folarin | Internal Medicine | 3828 S 1st St, Austin, TX 78704-7048 | 2007-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974065 | Dagoberto Balderas, Do, Pllc | General Practice | 5424 W Highway 290 Ste 101, Austin, TX 78735-8838 | 2020-05-19 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1356858377 | Where R U Now, LLC | General Practice | 7110 Cameron Rd Ste E, Austin, TX 78752-2868 | 2017-12-29 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1306291620 | Healthy Schools Texas Pllc | General Practice | 9415 Burnet Rd, Ste 309b, Austin, TX 78758-5255 | 2016-04-25 |
| 1649694035 | John Maxwell | General Practice | 12817 Hacienda Rdg, Austin, TX 78738-7652 | 2014-02-06 |
| 1982031852 | Total Md Physicians Group, Pllc | General Practice | 12717 Shops Pkwy, Suite 500, Austin, TX 78738-6621 | 2013-10-08 |
| 1932440245 | Travis County Employee Wellness & Health | General Practice | 1010 Lavaca St # 221, Austin, TX 78701-2331 | 2013-03-12 |
| 1447590765 | David L King | General Practice | 10609 Pickfair Dr, Austin, TX 78750-4010 | 2013-02-23 |
| 1407101744 | Susan Elizabeth Zane | General Practice | 100 Pascal Ln, Austin, TX 78746-2506 | 2012-07-23 |
| Find all providers in AUSTIN | ||||
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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.