Kathleen Callahan, PA-C
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1033766902
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1033766902
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Callahan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2019
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8808 | AZ | Yes |
Practice location
2836 E Indian School Rd Ste A8Phoenix, AZ 85016-6864
Phone 602-840-0056
Mailing address
Po Box 6610Chandler, AZ 85246-6610
Phone 602-840-0056
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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