Callaway Internal Medicine Group
NPI 1205910874ActiveOrganization· Specialist· Fulton, MO
Specialist in Fulton, Missouri, registered in NPPES in October 2006. The authorized official on file is Frederick M. Wilson, M.D., Physician.
Overview
| NPI | 1205910874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 112907 | MO |
| Specialist | 174400000X | 113229 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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