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MR. PAUL EDWARD CALLICOAT MD NPI 1063411536


NPI Information

NPI: 1063411536
Provider Name: MR. PAUL EDWARD CALLICOAT, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
900 E 13TH ST
SUITE 200
GROVE, OK
ZIP 74344
Phone: (918) 786-7667
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MR. Paul Edward Callicoat, MD is a cardiovascular disease internal medicine in Grove, OK. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. Paul Edward Callicoat, MD NPI is 1063411536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 E 13TH ST
SUITE 200
GROVE, OK
ZIP 74344-975
Phone: (918) 786-7667
Fax: (918) 786-7699

The enumeration date for this NPI number is 7/18/2005 and was last updated on 5/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease17987OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E71599MEDICARE UPIN
2100034060AMEDICAIDOKLAHOMA
3241410503MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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