CALLAHANMD – NPI #1124814223
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CALLAHANMD is a provider located in PALM BAY, FL. NPPES has assigned the NPI number 1124814223 to CALLAHANMD on April 16, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALLAHANMD below.

NPI Profile for
CALLAHANMD

NPI Number
1124814223
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALLAHANMD
Primary location
3425 BAYSIDE LAKES BLVD SE # 10310114
PALM BAY, FL 32909-6867
Phone: (385) 229-9889 Fax:
1 Other location(s):
260 Crandon Blvd # C33
Key Biscayne, FL 33149-1536
Phone: (385) 229-9889
Mailing address
10281 BENTLEY OAKS AVE
LAS VEGAS, NV 89135-2037
Phone: (509) 679-2668 Fax:
Organization Subpart
No
Authorized Official
EDWARD CALLAHAN
FOUNDER
Phone: (385) 229-9889
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.