NPIMap

Individual provider Active NPI

Charles R Caldwell Jr., M.D.

  • Cardiovascular Disease Physician
  • North Little Rock, AR
National Provider Identifier
1023061850
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C8109 Issued in AR
Practice address
3343 Springhill Dr
Suite 1035
North Little Rock, AR 72117-2929
Phone
(501) 975-7676
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C8109 AR Primary

Addresses

Primary practice location

3343 Springhill Dr
Suite 1035
North Little Rock, AR 72117-2929

Mailing address

9501 Baptist Health Dr
Suite 600 Medical Towers II
Little Rock, AR 72205-6225
Phone (501) 227-7596

Other identifiers 1

IdentifierTypeStateIssuer
128458001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060614000095 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 5597741637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Peripheral Vascular Disease
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, shared by 41 NPIs, 106 clinicians

Practice addresses (Care Compare)

3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone (501) 202-3995

3343 Springhill Dr
Suite 1035
North Little Rock, AR 72117-2930
Phone (501) 975-7676

9501 Baptist Health Dr
Suite 600
Little Rock, AR 72205-6231
Phone (501) 227-7596

Hospital & facility affiliations

  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • White County Medical Center Hospital, Searcy, AR, CCN 040014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C8109ARMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Community Services CurrentSince Sep 18, 2018 Accepting new patients
Conway Community Services CurrentSince Sep 18, 2018 Accepting new patients
Baptist Health Cardiovascular Disease CurrentSince Aug 14, 2013 Accepting new patients
Baptist Health CurrentSince Aug 14, 2013 Accepting new patients
Baptist Health Cardiovascular Disease CurrentSince Jun 14, 2014 Accepting new patients
Little Rock Cardiology Clinic, PA Cardiovascular Disease Past Accepting new patients
Central Arkansas Cardiology PastSince Jan 1, 1996 Accepting new patients
Sleep Centers of Arkansas Past Accepting new patients

Locations

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9501 Baptist Health Dr
Ste 600
Little Rock, AR 72205

9501 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-7000

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

4000 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 758-3999

3343 Springhill Dr
Ste 1035
North Little Rock, AR 72117
Phone (501) 975-7676

Interoperability endpoints

  • Direct secure messaging: ccaldwell2506@direct.baptist-healthar.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1023061850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR",
            "address_2": "SUITE 600 MEDICAL TOWERS II",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056225",
            "telephone_number": "501-227-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DR",
            "address_2": "SUITE 1035",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172929",
            "telephone_number": "501-975-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C8109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128458001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.