EDWARD CHARLES CALLAWAY (NPI# 1487628269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487628269 |
Entity Type | Individual |
Full Name | EDWARD CHARLES CALLAWAY |
Credential | M.D. |
Practice Address |
32733 193rd Ave Se Kent WA 98042-9705 |
Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
Practice Telephone | 9525951100 |
Practice Fax Number | 6122944903 |
Mailing Telephone | 9525951301 |
Mailing Fax Number | 6122944903 |
Enumeration Date | 2006-02-16 |
Last Update Date | 2015-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00046195 | WA | Allopathic & Osteopathic Physicians |
Street Address |
32733 193RD AVE SE |
City | KENT |
State | WA |
Zip Code | 98042-9705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
Find all providers in zip 98042 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164461828 | Nancy Ann Hallo | Radiology | 1675 East Main Street, Box 328, Kent, OH 44240-5818 | 2006-06-06 |
1861444648 | Paul A. Pathadan | Radiology | 1675 E Main St # 328, Ohio Imaging Associates, Inc, Kent, OH 44240-5818 | 2006-05-17 |
1164744819 | Robert Jadali Aria | Radiology | 1675 E Main St, Box 328, Kent, OH 44240-5818 | 2010-02-23 |
1558694984 | Rajul Pandya | Radiology | 1675 E Main St, Box 328, Kent, OH 44240-5818 | 2009-09-16 |
1649421447 | Rajaa Mohammed Almestady | Radiology | 1675 E Main St, Box 328, Kent, OH 44240 | 2008-10-10 |
1316194574 | Jonah Ralph Moon | Radiology | 1675 E Main St, Box 328, Kent, OH 44240-5818 | 2008-08-19 |
1285890491 | Shashidhara S. Tapasi Murthy | Radiology | 1675 E Main St, Box 328, Kent, OH 44240-5818 | 2008-08-07 |
1336303114 | Cory Allen Kutlick | Radiology | 1675 E Main St, Box 328, Kent, OH 44240-5818 | 2008-07-11 |
1942407135 | Mark Girish Jablonski | Radiology | 1675 E Main St, Box 328, Kent, OH 44240-5818 | 2007-06-29 |
1477768174 | Professional Management Systems, LLC | Radiology | 1930 State Route 59, Kent, OH 44240 | 2007-05-14 |
Find all providers in KENT |
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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.