Cory Callahan, PA-C
Physician Assistant, Surgical in Johnson City, Tennessee
1932647112- Practice location
- 410 N State Of Franklin RD Ste 140, Johnson City, TN 37604-6972
- Phone
- 423-431-2460
- Fax
- —
- Last updated
- February 27, 2024
Cory Callahan is a Physician Assistant, Surgical based in Johnson City, TN. Cory Callahan practices in Johnson City, TN and has the professional credentials of PA-C. The NPI Number for Cory Callahan is 1932647112 and holds a License No. PA1675 (ME). The current practice location address for Cory Callahan is 410 N State Of Franklin RD Ste 140, Johnson City, TN 37604-6972 and can be reached out via phone at 423-431-2460.
Provider Profile Details
- NPI Number
- 1932647112
- Provider Name
- Cory Callahan
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 410 N State Of Franklin RD Ste 140, Johnson City, TN 37604-6972
- Phone Number
- 423-431-2460
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 7, 2017
- Last Update Date
- February 27, 2024
- Certification Date
- February 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 410 N State Of Franklin RD Ste 140
Johnson City, TN 37604-6972 - City
- Johnson City
- State
- Tennessee
- Zip
- 37604-6972
- Phone Number
- 423-431-2460
Provider Business Mailing Address Details
- Address
- 1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192 - City
- Johnson City
- State
- TN
- Zip
- 37604-2192
- Phone Number
- 423-302-6565
License Information
- License Number (1)
- PA1675
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 5089
- License State (2)
- TN
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 5089
- License State (3)
- TN
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Johnson City, TN
View all Physician Assistant, Surgical providers in Johnson City →Frequently Asked Questions
What is the NPI number of Cory Callahan, PA-C?
The NPI number of Cory Callahan, PA-C is 1932647112. It was assigned on February 7, 2017 and is currently active in the NPPES registry.
What is the specialty of Cory Callahan, PA-C?
Cory Callahan, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA1675.
Where does Cory Callahan, PA-C practice?
The practice location is 410 N State Of Franklin RD Ste 140, Johnson City, TN 37604-6972. The office can be reached at 423-431-2460 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932647112 directly on the NPPES registry website.