Dr. Katherine Maccallum, MD
Dr. Katherine Maccallum, MD is a Vascular Surgery in Providence, Rhode Island. Qualified in 2015, 11 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, New York and Rhode Island.
- Years since qualifying
- 11
- Licensed in
- MA, NY, RI
- In the registry since
- 2015
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2 Dudley St Ste 470Providence, RI 02905-3248
Phone: (401) 553-8325
Fax: (401) 868-2336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence MD18473 (RI) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 293441 (MA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NY) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1194110189 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 6, 2015 |
| Last updated in NPPES | September 21, 2022 |
| Certification date | April 18, 2022 |
Medicare enrollment
| Medicare specialty | VASCULAR SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Lifespan Physician Group Inc — 1125 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Providence
-
Tze Tec Chong, MD
195 Collyer St Ste 302, Providence, RI 02904-1869 · (401) 793-4738
-
Edward J. Marcaccio Jr., MD
2 Dudley St Ste 470, Providence, RI 02905-3236 · (401) 553-8318
-
Richard Anthony Meena, MD
2 Dudley St Ste 470, Providence, RI 02905-3248 · (401) 553-8333
-
Dr. Robert B Patterson, MD
486 Silver Spring St, Providence, RI 02904-1556 · (401) 454-0690
-
Providence Surgical Care Group, Incorporated
486 Silver Spring St, Providence, RI 02904-1556 · (401) 454-0690