Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina Marie O'Callaghan, PA-C

Individual provider Physician Assistant · NPI 1003239500

Gina Marie O'Callaghan, PA-C is a Physician Assistant in Portage, Michigan. Licensed in Michigan and South Carolina. Registered with an NPI since 2014.

Licensed in
MI, SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 Old Centre Rd
Portage, MI 49024-4883
Phone: (269) 321-7546
Fax: (269) 321-1705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006884 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 2108 (SC)

Record details

NPI number1003239500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2014
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020

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