JACQUETTE CALDWELL MD PA (NPI# 1124370713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124370713 |
| Entity Type | Organization |
| Organization Name | JACQUETTE CALDWELL MD PA |
| Practice Address |
28 Wildeoak Ct Columbia SC 29223-3292 |
| Practice Telephone | 8036999226 |
| Mailing Telephone | 8036999226 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Authorized Official Name | DR. JACQUETTE CALDWELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 8036999226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
023105 | SC | Ambulatory Health Care Facilities |
| Street Address |
28 WILDEOAK CT |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
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| 1750688453 | First Imaging Center Inc | Clinic/Center | 8860 Columbia 100 Pkwy Suite 10, Columbia, MD 21045-2195 | 2011-02-16 |
| 1104889377 | Inmed Diagnostics Services of S C L L C | Clinic/Center | 126 S Assembly St, Columbia, SC 29201-4545 | 2006-04-10 |
| 1063886612 | Balum Imaging LLC | Clinic/Center | 5500 Knoll North Dr, Suite 190, Columbia, MD 21045-2370 | 2015-11-19 |
| 1710948047 | Laurel Imaging Center, LLC | Clinic/Center | 2750 Laurel St, Suite 104, Columbia, SC 29204-2038 | 2006-03-28 |
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| 1912215427 | Southside Imaging Center LLC | Clinic/Center | 430 Society Hill Drive, Aiken, SC 29803 | 2010-09-17 |
| 1760799241 | United Rehab Inc | Clinic/Center | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 | 2010-09-07 |
| 1225291206 | Manning Diagnostics LLC | Clinic/Center | 202 E Hospital St, Manning, SC 29102-3160 | 2008-07-09 |
| 1013170109 | Imaging Center At Baxter Village, L.L.C. | Clinic/Center | 509 6th Baxter Crossing, Fort Mill, SC 29708 | 2008-07-08 |
| 1073772737 | Orangeburg Cardiac Imaging Center | Clinic/Center | 1892 Saint Matthews Rd, Orangeburg, SC 29118-2404 | 2008-06-06 |
| 1861671711 | Southern Mri | Clinic/Center | 49 Pennington Dr Ste B, Bluffton, SC 29910-9014 | 2007-10-29 |
| 1679699144 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1704 E Main St, Duncan, SC 29334-9708 | 2007-03-22 |
| 1821114315 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1120 W Evans St, Florence, SC 29501-3320 | 2007-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.