DR. MICHAEL DOUGLAS CALLAN (NPI# 1568671964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568671964 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DOUGLAS CALLAN |
| Credential | D.O. |
| Practice Address |
2070 Biddle Ave Suite 200 Wyandotte MI 48192-4080 |
| Mailing Address |
1640 Fort Street Suite D Attn Denise Trenton MI 48183 |
| Practice Telephone | 7342259100 |
| Practice Fax Number | 7342259176 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
5101016780 | MI | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
5101016780 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GROUP NPI HENRY FORD WYANDOTTE | 1699102244 | 01 |
| MI | BLUE CROSS | 0H28427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124385448 | Michael A Callan | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2012-04-12 |
| Street Address |
2070 BIDDLE AVE SUITE 200 |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548231384 | Henri M. Pierre-jacques | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2006-01-30 |
| 1699102244 | Henry Ford Wyandotte Hospital | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2013-09-27 |
| 1336496793 | Sueann Isabella Hurd | Nurse Practitioner | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2012-08-04 |
| 1336448521 | Jessica Ann Lakey | Nurse Practitioner | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2011-03-28 |
| 1669797031 | Michael E Scott | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2010-03-29 |
| 1740309624 | Jason Omar Holcomb | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2007-03-29 |
| 1265516967 | Ashish Gupta | Surgery | 2070 Biddle Ave, Suite 1, Wyandotte, MI 48192-4080 | 2006-10-25 |
| 1740364470 | Ashish Gupta Md PC | Surgery | 2070 Biddle Ave, Suite 1, Wyandotte, MI 48192-4080 | 2006-10-25 |
| 1982784336 | Daniel W Olenchak | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2006-10-17 |
| 1588764823 | Byron C Pflaum II | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669443552 | Lance R. Chaldecott | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154710333 | Derek L Hill Do Pllc | Orthopaedic Surgery | 11446 E 13 Mile Rd Ste C, Warren, MI 48093-6571 | 2015-01-12 |
| 1174865174 | Benjamin Matthew Strong | Orthopaedic Surgery | 555 Midtowne St Ne Ste 105, Grand Rapids, MI 49503-5731 | 2013-03-18 |
| 1891003240 | Timothy Ephriam Ekpo | Orthopaedic Surgery | 12303 Pinehurst Ln, Grand Blanc, MI 48439-2634 | 2010-09-20 |
| 1194885459 | James Bennett Stanton | Orthopaedic Surgery | 174 S Wilson Blvd, Mount Clemens, MI 48043-2105 | 2006-12-09 |
| 1477658458 | Thomas R Perkins | Orthopaedic Surgery | 1349 S Rochester Rd Ste 205, Rochester Hills, MI 48307-3152 | 2006-09-14 |
| 1043253602 | Sam Hakki Hackette | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2006-06-13 |
| 1124020276 | Edward Gerard Loniewski | Orthopaedic Surgery | 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 | 2005-06-01 |
| 1356973119 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-10 |
| 1457835423 | Jointly Orthopaedics PC | Orthopaedic Surgery | 937 N Opdyke Rd, Auburn Hills, MI 48326-2641 | 2018-09-17 |
| 1053817494 | Daniel R Mesko Do PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 | 2018-04-04 |
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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.