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General NPI Number Information
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NPI Number | 1922364322
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Entity Type | Individual
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Provider Name | DANISHA SHAVONNE MCCALL MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 4199 GATEWAY BLVD
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City | NEWBURGH
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State | IN
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Zip | 47630-8940
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Country | US
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Telephone | 812-842-4108
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Fax | 812-842-4227
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Provider Business Mailing Address
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Address Line | PO BOX 637273
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City | CINCINNATI
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State | OH
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Zip | 45263-7273
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Country | US
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Telephone | 812-842-4550
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A136503
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A136503
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A136503
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01079674A
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License Number State | IN
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