Carol A Callahan (NPI# 1861485633, PAC ID# 7113900846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1861485633 |
| PAC ID by PECOS | 7113900846 |
| Professional Enrollment ID | I20050413000096 |
| Full Name | Carol A Callahan |
| Organization Legal Name | ADVANCED MEDICAL FOOTCARE |
| Address |
1817 Black Rock Tpke Fairfield CT 06825-3546 |
| Phone Number | 2033308080 |
| Gender | F |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0648217588 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2033308080 | ADVANCED MEDICAL FOOTCARE |
| 1817 Black Rock Tpke, Suite 8, Fairfield, CT 06825-3546 | 2033308080 | ADVANCED MEDICAL FOOTCARE |
| 330 Orchard St, New Haven, CT 06511-4429 | 2038675650 | NORTHEAST MEDICAL GROUP INC |
| 330 Orchard St, Suite 309, New Haven, CT 06511-4429 | 2038675650 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | ADVANCED MEDICAL FOOTCARE |
| Physicians | 1 |
| Street Address |
1817 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip | 06825-3546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George P Kelly | Psychiatry | 113 Sky Top Dr, Fairfield, CT 06825-1216 | |
| Stephanie J Schacher | Psychologist, Clinical | 123 Saxonwood Rd, Fairfield, CT 06825-2362 | |
| Martin H Klein | Psychologist, Clinical | 123 Saxonwood Rd, Fairfield, CT 06825-2362 | |
| Richard H Aronoff | Podiatry | 227 Bailey Rd, Fairfield, CT 06825-2607 | |
| Jose Reyes | Obstetrics/gynecology | Affiliates In Women's Care LLC | 309 Stillson Rd, Fl 2, Fairfield, CT 06825-3213 |
| Elenita G Espina | Obstetrics/gynecology | Affiliates In Women's Care LLC | 309 Stillson Rd, Fl 2, Fairfield, CT 06825-3213 |
| Antonela Barbu | Family Medicine | St. Vincent's Multispecialty Group | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 |
| Cary Goodman | Psychologist, Clinical | 2335 Black Rock Turnpike, Fairfield, CT 06825-3220 | |
| Amy Payson | Certified Clinical Nurse Specialist (cns) | 2335 Black Rock Tpke, Fairfield, CT 06825-3220 | |
| Christina J Taylor | Psychologist, Clinical | 2335 Black Rock Tpke, Fairfield, CT 06825-3220 | |
| Find all physicians in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| Specialty | PODIATRY |
| City + Specialty | FAIRFIELD + PODIATRY |
Please comment or provide details below to improve the information on Carol A Callahan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.