Dr Daniel Michael Callisto, DO | |
1001 Bellefontaine Ave, Lima, OH 45804-2800 | |
(419) 998-4575 | |
(419) 998-4586 |
Full Name | Dr Daniel Michael Callisto |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1001 Bellefontaine Ave, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730247636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 34004687 (Ohio) | Primary |
Entity Name | Lima Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
Entity Name | Bubanic Chiropractic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912187758 PECOS PAC ID: 1456440619 Enrollment ID: O20080219000479 |
Mailing Address | Practice Location Address |
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Dr Daniel Michael Callisto, DO 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 998-4575 | Dr Daniel Michael Callisto, DO 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 998-4575 |
Hussein Ibrahim Kashk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 967 Bellefontaine Ave, Lima, OH 45804 Phone: 419-996-5895 | |
Albert Anthony Phillips Ii, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Dr. Sheilla D Mcneal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665 | |
Dr. Teresa Jean Byrne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 W High St, Suite 102 And Suite 201, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665 | |
Taylor Hartlaub, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Magdalino M Tatad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9065 | |
Dr. Rajbir Singh Bajwa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665 |