Kevin J Caldwell MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G42767 Issued in CA

Legal business name

KEVIN J CALDWELL MD INC

Practice address

1240 Marshall St
Crescent City, CA 95531

Phone

(707) 465-5566

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Monica Arlene Sperling, RN

Title

Practice Manager

Phone

(707) 465-5566

Specialties & licenses 1

Addresses

Other names 1

• Redwood Medical Offices Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin John Caldwell, M.D.

  • Family Medicine Physician
  • Crescent City, CA
  • NPI 1316928104

  CA

  Medicare reassignment Care Compare group NPD
• Donna Sund, DO

  • Family Medicine Physician
  • Crescent City, CA
  • NPI 1407930076

  CA

  Medicare reassignment Care Compare group NPD
• Shellie Sue Babich, PA

  • Physician Assistant
  • Crescent City, CA
  • NPI 1508941436

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1023181971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-465-5566",
            "fax_number": "707-465-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-465-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J CALDWELL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SPERLING",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "707-465-5566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G42767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Medical Offices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Marie Keane, RN IP
• Michelle Marie Keeter, MD
• Thomas B. Kelem, LMFT
• Forrest Kelley, MS, PPS, LPCC
• Jeff Kelly, PSY.D.
• Lesley Keys
• Alex Kim
• Elli Kimbauer, PSY.D.
• Bradley Kime, OCS
• Benjamin King-Hails

• All providers in Crescent City, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.