Amanda M Caldwell (NPI# 1083854939, PAC ID# 3072662931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083854939 |
| PAC ID by PECOS | 3072662931 |
| Professional Enrollment ID | I20160913002690 |
| Full Name | Amanda M Caldwell |
| Organization Legal Name | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Address |
205 S Park Ln Suite 210 Altus OK 73521-5757 |
| Phone Number | 5803796650 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1759293178 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370022 | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 205 S Park Ln, Suite 210, Altus, OK 73521-5757 | 5803796650 | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Organization Legal Name | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael O Lockhart Jr. | Certified Registered Nurse Anesthetist (crna) | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Patricia A Burks | Nurse Practitioner | Jackson County Memorial Hospital Authority | 201 /2 S Park Ln, Suite 210, Altus, OK 73521-5733 |
| Renae Vitale | Clinical Social Worker | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Carol M Sherman | Family Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Wallace A Heller | Psychiatry | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Jamie Hokett | Family Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Jessica L Poe | Certified Registered Nurse Anesthetist (crna) | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Rose N Ngishu | Internal Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Richard Albert Katseres | General Surgery | Jackson County Memorial Hospital Authority | 1001 Us Hwy 83 N, Childress, TX 79201-2322 |
| Jack Lee Suddreth | Certified Registered Nurse Anesthetist (crna) | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Street Address |
205 S PARK LN SUITE 210 |
| City | ALTUS |
| State | OK |
| Zip | 73521-5757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael O Lockhart Jr. | Certified Registered Nurse Anesthetist (crna) | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Renae Vitale | Clinical Social Worker | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Carol M Sherman | Family Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Wallace A Heller | Psychiatry | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Jamie Hokett | Family Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Jessica L Poe | Certified Registered Nurse Anesthetist (crna) | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Rose N Ngishu | Internal Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Jack Lee Suddreth | Certified Registered Nurse Anesthetist (crna) | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Ama Serwah Isaac | Family Medicine | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Stanley R Sherman | General Surgery | Jackson County Memorial Hospital Authority | 205 S Park Ln, Suite 210, Altus, OK 73521-5757 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amie R Straub | Optometry | 112 Val Verde St, Suite C, Altus, OK 73521-1190 | |
| Steven Arthur Gifford | Optometry | Altus Family Vision Pllc | 112 Val Verde St, Suite C, Altus, OK 73521-1190 |
| Bryce Jacob Geiger | Optometry | Michael W. Geiger, Od PC | 809 E Tamarack Rd, Altus, OK 73521-1231 |
| Seth H Geiger | Optometry | Michael W. Geiger, Od PC | 809 E Tamarack Rd, Altus, OK 73521-1231 |
| Michael W Geiger | Optometry | Michael W. Geiger, Od PC | 809 E Tamarack Rd, Altus, OK 73521-1231 |
| John Ryan Gallagher | Orthopedic Surgery | Ryan Gallagher Pllc | 3216 N Main St, Altus, OK 73521-1307 |
| Monte D Combs | Nurse Practitioner | Ryan Gallagher Pllc | 3216 N Main St, Altus, OK 73521-1307 |
| Kamran M Massoumi | Ophthalmology | Oklahoma Eye Institute | 3000 N Main St, Altus, OK 73521-1348 |
| Cole W Wootton | Urology | Western Oklahoma Urology Pllc | 3000 N Main St, Altus, OK 73521-1348 |
| Manda Lea Stephens | Nurse Practitioner | Blackhawk Mangum LLC | 3000 N Main St, Quartz Mtn Med Ctr, Altus, OK 73521-1348 |
| Find all physicians in zip 73521 | |||
| City | ALTUS |
| Zip Code | 73521 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALTUS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda M Caldwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.