Healthcare Provider Details
I. General information
NPI: 1679837496
Provider Name (Legal Business Name): GINA MARIE HOPKINS-CALLIGAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/26/2012
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
350 W THOMAS RD
PHOENIX AZ
85013
US
IV. Provider business mailing address
PO BOX 82111
PHOENIX AZ
85071-2111
US
V. Phone/Fax
- Phone: 602-406-3000
- Fax: 706-721-6918
- Phone: 602-406-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084E0001X |
| Taxonomy | Epilepsy Physician |
| License Number | 52973 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 52973 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: