DR. ROBERT EDWARD MCCALLISTER (NPI# 1174526917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174526917 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EDWARD MCCALLISTER |
| Credential | MD |
| Practice Address |
6920 Parkdale Pl Ste 210 Indianapolis IN 46254-5611 |
| Practice Telephone | 3172993444 |
| Practice Fax Number | 3172998709 |
| Mailing Telephone | 3172993444 |
| Mailing Fax Number | 3172998709 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01030428 | IN | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
01030428 | IN | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
01030428 | IN | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
01030428 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000087049 | 01 |
| IN | TAX IDENTIFICATION NUMBER | 351711573 | 01 |
| IN | AETNA | 0004359769 | 01 |
| IN | RAILROAD MEDICARE | 070001836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952617318 | Robert I Mccallister | Counselor | 4215 Kellybrook Dr, Concord, NC 28025-7100 | 2010-08-24 |
| 1447285333 | Robert Cy Mccallister | Acupuncturist | 8680 Greenback Ln, Suite 110, Orangevale, CA 95662-3969 | 2006-07-11 |
| Street Address |
6920 PARKDALE PL STE 210 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932544533 | Robert Michael Schrock | Nurse Practitioner | 6920 Parkdale Pl, Ste 106, Indianapolis, IN 46254-5612 | 2013-05-08 |
| 1639358641 | M. D. Healthcare, LLC | Family Medicine | 6920 Parkdale Pl, Suite 208, Indianapolis, IN 46254-5612 | 2007-10-25 |
| 1487787354 | Step By Step Pediatrics, LLC | Pediatrics | 6920 Parkdale Pl, Suite 109, Indianapolis, IN 46254-5612 | 2007-03-13 |
| 1144310244 | Josue J Villalta | Obstetrics & Gynecology | 6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 | 2006-10-13 |
| 1487741377 | Westside Gynecology, Inc. | Obstetrics & Gynecology | 6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 | 2006-10-10 |
| 1316048689 | Chung Kwang Raymond Wong | Dentist | 6920 Parkdale Pl, Suite 217, Indianapolis, IN 46254-5612 | 2006-09-26 |
| 1245271691 | Daniel W Voegele | Family Medicine | 6920 Parkdale Pl, Ste 106, Indianapolis, IN 46254-5604 | 2006-06-09 |
| 1366489734 | Anne J Stump | Pediatrics | 6920 Parkdale Pl, Ste 109, Indianapolis, IN 46254-9998 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467834127 | Emily W Shelley | Dermatology | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | 2015-06-18 |
| 1639580152 | Nikolajs Perdue | Dermatology | 6820 Parkdale Pl Ste 211, Indianapolis, IN 46254-6600 | 2014-05-19 |
| 1093057911 | Matthew Bradley Strausburg | Dermatology | 9292 N Meridian St Ste 210, Indianapolis, IN 46260-1828 | 2013-03-18 |
| 1144596628 | Jennifer Croix | Dermatology | 1633 N Capitol Ave Ste 640, Indianapolis, IN 46202-1281 | 2012-03-28 |
| 1689908519 | Sara Leigh Hanson | Dermatology | 8103 Clearvista Pkwy Ste 260, Indianapolis, IN 46256-4697 | 2009-09-24 |
| 1366635310 | August Anthony Natalie | Dermatology | 8325 S Emerson Ave Ste C1, Indianapolis, IN 46237-8559 | 2007-08-23 |
| 1669663852 | John Barry Stephens | Dermatology | 3755 E 82nd St, Suite 75, Indianapolis, IN 46240-7335 | 2007-08-05 |
| 1740307073 | Michael Abrishami | Dermatology | 550 University Blvd # Uh3240, Indianapolis, IN 46202-5149 | 2007-03-23 |
| 1831169036 | Sonya Furnae Campbell Johnson | Dermatology | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 | 2006-01-23 |
| 1750380275 | Ginat Wintermeyer Mirowski | Dermatology | 1910 N Arlington Ave, Indianapolis, IN 46218-5128 | 2005-07-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on DR. ROBERT EDWARD MCCALLISTER.
| 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.