OrganizationActive
Callaway Internal Medicine Group
NPI 1205910874 · Specialist · Fulton, MO
Callaway Internal Medicine Group is a Specialist organization in Fulton, MO (NPI 1205910874).
Provider details
- NPI number
- 1205910874
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Frederick Wilson, Physician(573) 642-4242
- License
- 113229 (MO)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2613 Fairway Dr
Suite D
Fulton, MO 65251-3936
Phone: (573) 642-4242
Street-level locationGet directions
Mailing address
2613 Fairway Dr
Fulton, MO 65251-3936
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Callaway Internal Medicine Group's NPI number?
- Callaway Internal Medicine Group's National Provider Identifier (NPI) is 1205910874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Callaway Internal Medicine Group?
- Callaway Internal Medicine Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Callaway Internal Medicine Group located?
- Callaway Internal Medicine Group's practice location on file with NPPES is 2613 Fairway Dr, Fulton, MO 65251-3936.
- What is Callaway Internal Medicine Group's phone number?
- The practice phone number listed in the NPPES registry for Callaway Internal Medicine Group is (573) 642-4242.
- Who is the authorized official for Callaway Internal Medicine Group?
- The authorized official listed on Callaway Internal Medicine Group's NPPES record is Frederick Wilson, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Callaway Internal Medicine Group's NPI active?
- Yes — Callaway Internal Medicine Group's NPI (1205910874) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.