DR. MARK GERARD O'CALLAGHAN M.D. NPI 1023180890

NPI Information

NPI: 1023180890
Provider Name: DR. MARK GERARD O'CALLAGHAN, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

PECOS Registration: Yes

Address:
209 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405
Phone: (253) 596-3300
Get Directions

DR. Mark Gerard O'callaghan, M.D. is a neuroradiology radiology in Tacoma, WA with 31 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Mark Gerard O'callaghan, M.D. NPI is 1023180890. 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:

209 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405-265
Phone: (253) 596-3300

The NPI 1023180890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/28/2021.

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
1	2085N0700X	Radiology	Neuroradiology	MD00047091	WASHINGTON	Yes

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
1	8469579	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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