NPI 1962765222 · live from the CMS NPI Registry
Ryan Callahan, D.O
Orthopaedic Surgery in Rupert, ID. National Provider Identifier 1962765222, active.
NPI record
| NPI | 1962765222 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1218 9th St Ste 10, Rupert, ID 83350 |
| Practice phone | 208-436-8340 |
| Mailing address | 2655 Nw Highland Dr, Unit 32, Corvallis, OR 97330 |
| Enumerated | June 21, 2012 |
| Last updated | June 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 14175036-1204 (UT) |
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | O-1152 (ID) |
| Orthopaedic Surgery primary | 207X00000X | PG158100 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.