CHARLES M CALDWELL (NPI# 1528008695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528008695 |
| Entity Type | Individual |
| Full Name | CHARLES M CALDWELL |
| Credential | M.D. |
| Practice Address |
1020 W Fertitta Blvd Leesville LA 71446-4649 |
| Mailing Address |
Po Box 4328 Shreveport LA 71134-0328 |
| Practice Telephone | 3372399041 |
| Practice Fax Number | 3372395360 |
| Mailing Telephone | 3182221149 |
| Mailing Fax Number | 3184252335 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD.15763R | LA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.15763R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1722669 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982960688 | Charles Adren Caldwell Sr. | Counselor | 32118 32nd Ave Sw, Federal Way, WA 98023-2206 | 2012-04-06 |
| 1821119918 | Charles Caldwell | Dentist | 3875 Burton St Se, Grand Rapids, MI 49546-5816 | 2007-04-03 |
| 1346399300 | Charles Stephen Caldwell | Dentist | 9398 Viscount Blvd Ste 1a, El Paso, TX 79925-8028 | 2007-01-09 |
| 1023065406 | Charles W Caldwell | Pathology | 1013 Marcassin Dr, Columbia, MO 65201-7196 | 2006-05-30 |
| 1023017555 | Charles Gordon Caldwell | Orthopaedic Surgery | 514 E Bryan St, Savannah, GA 31401-2803 | 2005-07-18 |
| 1629398268 | Charles Brian Caldwell | Family Medicine | 110 Medical Circle, Nashville, AR 71852-8606 | 2010-06-06 |
| 1982622205 | Charles Edward Caldwell | Dentist | 1111 E End Blvd, Va Medical Center, Dental Services, Wilkes Barre, PA 18711-0030 | 2006-07-17 |
| 1023061850 | Charles R Caldwell Jr. | Internal Medicine | 3343 Springhill Dr, Suite 1035, North Little Rock, AR 72117-2929 | 2006-05-19 |
| 1750347001 | Charles E Caldwell Jr. | Family Medicine | 8726 Us Hwy 42, Florence, KY 41042 | 2006-04-25 |
| Street Address |
1020 W FERTITTA BLVD |
| City | LEESVILLE |
| State | LA |
| Zip Code | 71446-4649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895495 | Byrd Medical Clinic Inc | Urology | 1020 W Fertitta Blvd, Leesville, LA 71446 | 2005-07-18 |
| 1881241552 | Kary Wilson | Physician Assistant | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2019-08-19 |
| 1912566779 | Oluwayemisi Radiology LLC | Radiology | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2019-06-06 |
| 1235693847 | Kisatchie Emergency Group, LLC | Physician Assistant | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2019-01-28 |
| 1538623640 | Clhg-leesville | General Acute Care Hospital | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2019-01-23 |
| 1013494186 | Gpn-leesville, LLC | Pathology | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2018-07-23 |
| 1366929432 | Gpn-leesville, LLC | Internal Medicine | 1020 W Fertitta Blvd, Leesville, LA 71446 | 2018-07-23 |
| 1043717515 | Gpn-leesville, LLC | Emergency Medicine | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2018-04-10 |
| 1972034155 | Jashua Bower | Nurse Practitioner | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2017-03-21 |
| 1548660855 | Juowen Huang | Pharmacist | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
| 1487298964 | Usafetrans | Non-emergency Medical Transport (VAN) | 9348 Shreveport Hwy, Leesville, LA 71446 | 2019-10-29 |
| 1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
| 1598280810 | Heather Wisby | Nurse Practitioner | 919 S. 10th St., Leesville, LA 71446 | 2017-08-08 |
| 1487183802 | Cathryn Lea Gaur | Speech-Language Pathologist | 300 Nolan Trace, Leesville, LA 71446 | 2017-06-08 |
| 1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
| 1366820714 | Companion Care of Southwest Louisiana | In Home Supportive Care | 407 B North 5th Street, Leesville, LA 71446 | 2015-05-18 |
| 1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
| 1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
| 1447500293 | Jana N Lambert | Nurse Practitioner | 919 S. 10th St, Leesville, LA 71446 | 2012-09-19 |
| Find all providers in zip 71446 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912566779 | Oluwayemisi Radiology LLC | Radiology | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2019-06-06 |
| 1134349319 | Caldwell Radiology Associates LLC | Radiology | 1020 W Fertitta Blvd, Leesville, LA 71446-4649 | 2007-04-27 |
| 1740407014 | Joe Hundley Rankin Md A Prof Medical Corp | Radiology | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2007-04-19 |
| 1275552648 | Joe H Rankin | Radiology | 1020 W Fertitta Blvd, Leesville, LA 71446-4645 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726518 | Avail Lc Radiology LLC | Radiology | 3730 Nelson Rd, Lake Charles, LA 70605-2412 | 2018-10-16 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1801393590 | Sterling Spine, LLC | Radiology | 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 | 2018-04-09 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1366977092 | John-paul Grenier | Radiology | 800 Old Metairie Dr, Metairie, LA 70001-6095 | 2017-05-01 |
| 1588023980 | Louisiana Diagnostic and Imaging | Radiology | 5633 Cormier Rd, Vinton, LA 70668-6316 | 2016-02-15 |
| 1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
| 1457790255 | Sulphur Healthcare Partners | Radiology | 3649 S Beglis Pkwy, Sulphur, LA 70665-8107 | 2013-06-14 |
| 1013250703 | Paul Jude Sibille | Radiology | 1240 Highway 761, Church Point, LA 70525-7527 | 2013-04-01 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
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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.