Provider Demographics
NPI:1033104518
Name:CALLOWAY, GEORGE FRANKLIN II (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FRANKLIN
Last Name:CALLOWAY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 COOPER RD
Mailing Address - Street 2:SUITE 415
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8723
Mailing Address - Country:US
Mailing Address - Phone:614-891-7878
Mailing Address - Fax:614-891-6888
Practice Address - Street 1:495 COOPER RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8723
Practice Address - Country:US
Practice Address - Phone:614-891-7878
Practice Address - Fax:614-891-6888
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35038419C207QA0401X
OH35038419207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0380967Medicaid
OHA36991Medicare UPIN