MR. PAUL EDWARD CALLICOAT JR. MD
NPI 1063411536
Internal Medicine - Cardiovascular Disease in Grove, OK

Active since July 18, 2005
900 E 13TH ST, SUITE 200, GROVE, OK 74344(918) 786-7667(918) 786-7699 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Paul Edward Callicoat Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL EDWARD CALLICOAT JR. MD (NPI 1063411536) is an individual cardiovascular disease provider in Grove, Oklahoma, licensed in Oklahoma (17987) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1063411536
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. PAUL EDWARD CALLICOAT JR.Credential: MD
Location Address900 E 13TH ST, SUITE 200Grove, OK 74344-2975
Mailing AddressPo Box 450968Grove, OK 74345-0968 · (918) 786-7667 · Fax (918) 786-7699
Fax(918) 786-7699
Sole ProprietorYes
Enumeration DateJuly 18, 2005
Last NPPES UpdateMay 20, 2010
NPI 1063411536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OK · 17987
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

900 E 13TH ST, Grove, OK 74344

Other Identifiers 3

Medicare UPINE71599
Medicaid100034060AOK
Medicare ID-Type Unspecified241410503OK

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
900 E 13TH ST, SUITE 104
GROVE, OK 74344
Clinic/Center
900 E 13TH ST, SUITE 201
GROVE, OK 74344
Internal Medicine (Interventional Cardiology)
900 E 13TH ST, SUITE 200
GROVE, OK 74344
Internal Medicine (Interventional Cardiology)
900 E 13TH ST, SUITE 200
GROVE, OK 74344
Physician Assistant
900 E 13TH ST, SUITE 101
GROVE, OK 74344
Family Medicine
900 E 13TH ST, SUITE 104
GROVE, OK 74344
Surgery
900 E 13TH ST, SUITE 102
GROVE, OK 74344
Obstetrics & Gynecology
900 E 13TH ST, SUITE 205
GROVE, OK 74344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Callicoat's NPI number?

The NPI number for Paul Callicoat is 1063411536. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Paul Callicoat located?

Paul Callicoat practices at 900 E 13th St Suite 200, Grove, OK 74344. The listed phone number is (918) 786-7667.

What is Paul Callicoat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Paul Callicoat was last updated on May 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.