EDYE A CALDERON (NPI# 1669577474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669577474 |
Entity Type | Individual |
Full Name | EDYE A CALDERON |
Credential | PAC |
Practice Address |
319 E Josephine Frederick OK 73542 |
Mailing Address |
Po Box 785 Lawton OK 73502 |
Practice Telephone | 5803357545 |
Practice Fax Number | 5803357619 |
Mailing Telephone | 5803579984 |
Mailing Fax Number | 5803573277 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2008-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 1645 | OK | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
2868 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2868 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | MEDICARE | 242722104 | 01 |
OK | 200116340A | 05 | |
AZ | 816176 | 05 |
Street Address |
319 E JOSEPHINE |
City | FREDERICK |
State | OK |
Zip Code | 73542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275992802 | Cletus Gibbs | Counselor | 1500 North Main, Frederick, OK 73542 | 2016-02-10 |
1164834883 | Kimberly Abbott | Case Manager/Care Coordinator | 926 North 13th, Frederick, OK 73542 | 2014-05-29 |
1356456156 | Frederick Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 219 E Josephine, Frederick, OK 73542 | 2006-08-20 |
1679550115 | City of Frederick | Nursing Facility/Intermediate Care Facility | 319 E. Josephine, Frederick, OK 73542 | 2005-12-27 |
1770678138 | Gregory Scott Howard | Chiropractor | 108 South Main Street, Frederick, OK 73542 | 2006-10-03 |
1982670816 | Trenton L Mefford | Family Medicine | 319 E Josephine Ave, Frederick, OK 73542 | 2006-02-28 |
1982778379 | Frederick Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1600 N Main St, Frederick, OK 73542-1419 | 2006-11-20 |
1003248758 | Hollie Marie Lindsay | Counselor | 1500 N. Main, Frederick, OK 73542-1421 | 2013-08-05 |
1528550837 | Jessica Adeliade Smith | Case Manager/Care Coordinator | 1500 N Main St, Frederick, OK 73542-1421 | 2018-06-01 |
1326406141 | Bernette Calvin | Counselor | 1500 N Main St, Frederick, OK 73542-1421 | 2016-02-08 |
Find all providers in zip 73542 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619453487 | Brianna Adkinson | Physician Assistant | 3430 Worthington Blvd Ste 103, Frederick, MD 21704-7018 | 2018-07-16 |
1508379199 | John Patrick Ohsann | Physician Assistant | 196 Thomas Johnson Dr Ste 120, Frederick, MD 21702-4521 | 2017-11-06 |
1528509007 | Michael Probert | Physician Assistant | 5317 Saint Mawes Ct, Frederick, MD 21703-2810 | 2017-03-16 |
1427453612 | Jinhui Yuan | Physician Assistant | 65 Thomas Johnson Dr Ste C, Frederick, MD 21702-4371 | 2014-10-30 |
1336587419 | June Margarete Cuddy | Physician Assistant | 85 Thomas Johnson Ct Ste B, Frederick, MD 21702-4331 | 2013-06-11 |
1093096794 | Gelnard Talj | Physician Assistant | 2153 Collingwood Ln, Frederick, MD 21702-9403 | 2011-09-08 |
1124285184 | Randyl Erik Gessel | Physician Assistant | 1100 W Patrick St Ste H, Frederick, MD 21703-3974 | 2008-05-19 |
1467638502 | Douglas H. Brown | Physician Assistant | 3 Hillcrest Dr Ste A202, Frederick, MD 21703-6270 | 2008-01-19 |
1619174885 | Diane Margarete Darr | Physician Assistant | Corp Ohs Frederick 490-l Prospect Blvd, 490-l, Frederick, MD 21701 | 2007-06-29 |
1194766394 | William Francis Kelly | Physician Assistant | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2006-06-09 |
Find all providers in FREDERICK |
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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.