OrganizationActive
Callaway Internal Medicine Group
NPI 1811182652 · Internal Medicine Physician · Fulton, MO
Provider details
- NPI number
- 1811182652
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederick Wilson, President(573) 642-4242
- License
- 113229 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Fax: (573) 592-0560
Street-level locationGet directions
Mailing address
2613 Fairway Dr
Fulton, MO 65251-3936
Registry dates
- Enumerated
- 2007-09-13
- Last updated
- 2007-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.