Kenneth M Caldwell (NPI# 1457398224, PAC ID# 8022069947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1457398224 |
PAC ID by PECOS | 8022069947 |
Professional Enrollment ID | I20050425000863 |
Full Name | Kenneth M Caldwell |
Organization Legal Name | EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC |
Address |
3717 Mt Diablo Blvd Suite 100 Lafayette CA 94549-3547 |
Phone Number | 9252845300 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
Graduation Year | 1966 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 3476509712 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 | 9252845300 | EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC |
Organization Legal Name | EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theodore A Glattke | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Nicole C Indart | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Kirk L Jensen | Orthopedic Surgery | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Edward C Klass | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Carrie S Haraburda | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
David T Hatae | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Street Address |
3717 MT DIABLO BLVD SUITE 100 |
City | LAFAYETTE |
State | CA |
Zip | 94549-3547 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theodore A Glattke | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Nicole C Indart | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Kirk L Jensen | Orthopedic Surgery | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Edward C Klass | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Carrie S Haraburda | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
David T Hatae | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christina E Alba | Chiropractic | 3732 Mt Diablo Blvd, Suite 280, Lafayette, CA 94549-3605 | |
Erik M Breitling | Qualified Audiologist | 3744 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3661 | |
Steven J Marcinkowski | Physical Therapy | 3675 Mt Diablo Blvd, Suite 110, Lafayette, CA 94549-3774 | |
Nathan S Orr | Optometry | 3581 Mt Diablo Blvd, Lafayette, CA 94549-3891 | |
Richard W Baker | Optometry | 3581 Mt Diablo Blvd, Lafayette, CA 94549-3891 | |
Britney Kitamata Wong | Optometry | 3581 Mt Diablo Blvd, Lafayette, CA 94549-3891 | |
Samuel Wang | Cardiac Electrophysiology | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
Christopher A Simmons | Internal Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
Herbert John Ure | Family Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
Gisha Thomas | Internal Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
Find all physicians in zip 94549 |
City | LAFAYETTE |
Zip Code | 94549 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | LAFAYETTE + ORTHOPEDIC SURGERY |
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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.