EDYE A CALDERON


Address: 319 E Josephine, Frederick, OK 73542
Phone: 5803357545

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OK MEDICARE 242722104 01
OK 200116340A 05
AZ 816176 05

Office Location

Street Address 319 E JOSEPHINE
City FREDERICK
State OK
Zip Code 73542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427075324 Comanche County Healthcare Family Medicine 319 E Josephine, Frederick, OK 73542 2006-07-16

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City FREDERICK
Zip Code 73542

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Dataset Information

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.

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