MICHAEL T. CALLAGHAN M.D. & ASSOCIATES, P.A. (NPI# 1306941984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306941984 |
| Entity Type | Organization |
| Organization Name | MICHAEL T. CALLAGHAN M.D. & ASSOCIATES, P.A. |
| Other Organization Name | INTERMOUNTAIN RADIATION ONCOLOGY |
| Practice Address |
500 S 11th Ave Suite 101 Pocatello ID 83201-4835 |
| Mailing Address |
Po Box 4908 Pocatello ID 83205-4908 |
| Practice Telephone | 2082391750 |
| Practice Fax Number | 2082366695 |
| Mailing Telephone | 2082361600 |
| Mailing Fax Number | 2082366695 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-06-28 |
| Authorized Official Name | MICHAEL T. CALLAGHAN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2082391750 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806163600 | 05 |
| Other Name | Type Code |
|---|---|
| Intermountain Radiation Oncology | Other Name - Individual/Organization |
| Street Address |
500 S 11TH AVE SUITE 101 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443699 | Kelli Deanne Christensen | Family Medicine | 500 S 11th Ave, Suite 303, Pocatello, ID 83201 | 2005-08-09 |
| 1700365178 | Adam Gault | Nurse Practitioner | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2018-08-07 |
| 1366982126 | Debra Reiland | Registered Nurse | 500 S 11th Ave, Suite 501, Pocatello, ID 83201-4835 | 2017-02-27 |
| 1235678848 | Jenna Nicole Thompson | Social Worker | 500 S 11th Ave, Suite 303, Pocatello, ID 83201-4835 | 2017-02-15 |
| 1669753109 | Care LLC | Obstetrics & Gynecology | 500 S 11th Ave, Ste 201, Pocatello, ID 83201-4835 | 2011-08-29 |
| 1962790964 | Urology Center of Idaho Pllc | Urology | 500 S 11th Ave, Suite 301, Pocatello, ID 83201-4835 | 2011-07-12 |
| 1689977019 | Karl M Letko | Physician Assistant | 500 S 11th Ave, Suite 503, Pocatello, ID 83201-4835 | 2010-12-07 |
| 1982838694 | Michael Arik Mariska | Counselor | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2009-05-08 |
| 1710111935 | Chelsie Ann Morrison | Family Medicine | 500 S 11th Ave, Suite 102, Pocatello, ID 83201-4835 | 2009-05-04 |
| 1023287828 | Pocatello Children's Clinic | Durable Medical Equipment & Medical Supplies | 500 S 11th Ave, Ste 204, Pocatello, ID 83201-4835 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972604510 | Steven Joseph Todd | Radiology | 500 S 11th Ave Ste 101, Pocatello, ID 83201-4877 | 2006-09-26 |
| 1689714826 | Jennifer L. Robinson | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2007-02-07 |
| 1316978539 | Michael T. Callaghan | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477597045 | John E Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704-9752 | 2006-06-15 |
| 1508854290 | Norman Robert Willis | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2005-10-07 |
| 1629060256 | Gary Van Heuvelen | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2005-08-19 |
| 1982099412 | Corbin Daniel Jacobs | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2015-04-01 |
| 1447694922 | Daniel H. Miller | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2013-04-26 |
| 1144563370 | Christina T Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704 | 2013-04-06 |
| 1841587094 | Ryan James Bair | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-07-07 |
| 1831424365 | Aaron Eugene Wagner | Radiology | 700 W Ironwood Dr, Ste130, Coeur D Alene, ID 83814-2656 | 2009-10-16 |
| 1790930311 | Radiation Oncology Associates, Pllc | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2008-11-24 |
| 1952404097 | Calvin J. Mcallister | Radiology | 3245 Channing Way, Idaho Falls, ID 83404-7536 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
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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.