CALLAWAY INTERNAL MEDICINE GROUP
NPI 1205910874
Specialist in Fulton, MO

Active since October 24, 2006
2613 FAIRWAY DR, SUITE D, FULTON, MO 65251(573) 642-4242 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Callaway Internal Medicine Group NPPES

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

CALLAWAY INTERNAL MEDICINE GROUP (NPI 1205910874) is a healthcare organization registered as a specialist in Fulton, Missouri and active in the NPI registry since October 2006. The organization lists Frederick M Wilson, Physician, as its authorized official.

NPPES Registry Identity

NPI1205910874
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCALLAWAY INTERNAL MEDICINE GROUP
Location Address2613 FAIRWAY DR, SUITE DFulton, MO 65251-3936
Mailing Address2613 Fairway Dr, Suite DFulton, MO 65251-3936 · (573) 642-4242
Organization SubpartNo
Authorized OfficialFrederick M WilsonPhysician · (573) 642-4242
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1205910874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in MO · 112907 Licensed in MO · 113229
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2613 FAIRWAY DR, Fulton, MO 65251

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR, SUITE C
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Physician Assistant
2613 FAIRWAY DR
FULTON, MO 65251
Family Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Internal Medicine
2613 FAIRWAY DR
FULTON, MO 65251
Physician Assistant
2613 FAIRWAY DR, SUITE C
FULTON, MO 65251

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 Callaway Internal Medicine Group's NPI number?

The NPI number for Callaway Internal Medicine Group is 1205910874. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Callaway Internal Medicine Group located?

Callaway Internal Medicine Group is located at 2613 Fairway Dr Suite D, Fulton, MO 65251. The listed phone number is (573) 642-4242.

What is Callaway Internal Medicine Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Callaway Internal Medicine Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.