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Deactivated NPI 1104851393 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph J Callanan , MD

Specialist • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joseph Callanan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006
NPI Deactivation Date June 16, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Callanan, MD was a registered Specialist practicing in Boise, ID. Throughout an active medical career spanning 14 years, Dr. Callanan provided care at the practice location at 1000 N CURTIS RD until profile deactivation on 2020-06-16.

Practice Location & Contact Primary Location

Practice Address

1000 N Curtis Rd
Suite 303

Boise, ID 837061337

Telephone 2083774000
Fax 2083758426
Associated Practice Facility / Clinic
🏢 Allergy Group Pc Facility NPI 1316979974

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
51 Specialists

Practicing in Boise, ID (194 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M3022

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Jeremy Waldram , MD

Allergy & Immunology

NPI 1396972311

Doctor of Medicine (M.D.)

Dr. Charles Webb , MD

Allergy & Immunology - Allergy

NPI 1609865880

Doctor of Medicine (M.D.)

Allison Clark , NP-C

Nurse Practitioner

NPI 1750186581

Nurse Practitioner (Certified)

Kinsley Bonfilio , PA-C

Physician Assistant

NPI 1801567110

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 16, 2020

Record deactivated on June 16, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1000 N CURTIS RD, SUITE 303, BOISE, ID 837061337 (Tel: 2083774000)

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Updated Business Mailing Address July 08, 2007

Registered at 1000 N CURTIS RD, SUITE 303, BOISE, ID 837061337 (Tel: 2083774000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOSEPH CALLANAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #M3022 in ID)

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Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104851393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: July 08, 2007
Deactivation Date: June 16, 2020

Mailing Address

1000 N Curtis Rd, Suite 303

Boise, ID 837061337

Phone: 2083774000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.