VINCENT CALDERON (NPI# 1972508513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972508513 |
| Entity Type | Individual |
| Full Name | VINCENT CALDERON |
| Credential | M.D. |
| Practice Address |
4202 S University Ave Little Rock AR 72204-7841 |
| Practice Telephone | 5015624838 |
| Practice Fax Number | 5015621958 |
| Mailing Telephone | 5015624838 |
| Mailing Fax Number | 5015621958 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | C8179 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED HEALTH CARE NUMBER | 1220028 | 01 |
| AR | 123526001 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 5J058 | 01 |
| AR | QUALCHOICE OF ARKANSAS | 11185 | 01 |
| Street Address |
4202 S UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-7841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518374610 | Kristi Leigh Jones | Nurse Practitioner | 4202 S University Ave, Little Rock, AR 72204-7841 | 2014-07-21 |
| 1699118141 | Eric Nathaniel Joseph | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2013-04-15 |
| 1184985905 | Irina V Esteva | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2012-06-07 |
| 1366676678 | Randy L Hogan | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-05-14 |
| 1902030208 | Kara B Swayne | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-05-14 |
| 1013159698 | Christine Lalande | Nurse Practitioner | 4202 S University Ave, Little Rock, AR 72204-7841 | 2009-03-30 |
| 1407026370 | Julia Brooks | Dietitian, Registered | 4202 S University Ave, Little Rock, AR 72204-7841 | 2008-03-07 |
| 1093901506 | Samuel Allen | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-09-18 |
| 1780706663 | Shiva Nallur | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-04-04 |
| 1801970413 | Family Medical Center Pharmacy | Pharmacist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757630 | Kaylah Charles | Pediatrics | 36 Melinda Dr, Little Rock, AR 72209-3341 | 2020-10-12 |
| 1073006680 | Ezgi Saylam | Pediatrics | 15515 Capitol Hill Blvd Apt 616, Little Rock, AR 72223-7212 | 2018-06-08 |
| 1851889356 | Arkansas Pediatric Clinic, Pllc | Pediatrics | 16115 Saint Vincent Way Ste 320, Little Rock, AR 72223-3000 | 2018-04-30 |
| 1306377890 | Charles Pugh | Pediatrics | 1 Childrens Way # 519-19a, Little Rock, AR 72202-3500 | 2017-03-25 |
| 1225492929 | Kevin Weaver Jr. | Pediatrics | #1 Children's Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2016-04-08 |
| 1255727756 | Stephen Nathaniel Epps | Pediatrics | 1 Childrens Way # 512-19b, Little Rock, AR 72202 | 2015-04-10 |
| 1902225220 | Hannah B Wilkins | Pediatrics | 1 Childrens Way # 512-1, Little Rock, AR 72202-3500 | 2014-04-15 |
| 1467871509 | Elaine Odiase | Pediatrics | 1 Childrens Way # 517-7, Little Rock, AR 72202-3500 | 2014-04-15 |
| 1245658376 | Natalie Nelson Burr | Pediatrics | 500 S University Ave Ste 400, Little Rock, AR 72205-5306 | 2014-04-05 |
| 1770907404 | Janece Hiegel | Pediatrics | 16112 Patriot Dr, Little Rock, AR 72212-2669 | 2014-02-17 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.