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Michael Wmd Callaway

  • Male

Medical Specialty

Professional ID

  • NPI: 1497781918
  • PECOS ID: 8729120340
  • Enrollment ID: I20100120000616
  • Credential(MD, DO, DPM):
  • Medical School: University Of Arkansas College Of Medicine
  • Medical School Graduation Year: 1989

Hospital Service

  • Hospital CCN1: 040062
  • Business Name (LBN)1: St Edward Mercy Medical Center
  • Hospital CCN2: 040055
  • Business Name (LBN)2: Sparks Regional Medical Center

Medical Practices

  • Organization Name: Cooper Clinic Pa
  • Group Practice ID assigned by PECOS: 1153219621
  • Number of Group Practice member: 45

Location

  • Address1: 6801 Rogers Ave
  • Address2:
  • City: Fort Smith
  • State: Arkansas
  • Zip Code: 72903
  • Phone Number: (479)478-3510

Location

  • Address1: 7001 Rogers Ave
  • Address2:
  • City: Fort Smith
  • State: Arkansas
  • Zip Code: 72903
  • Phone Number: (479)452-2077

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):