Active NPI
William Edward Caldwell III
- Physician Assistant
- Orofino, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2171884
- Practice address
- 1055 Riverside Ave
Orofino, ID 83544 - Phone
- (208) 476-5777
- NPI assigned
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
Family Medicine, ID
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
Hospital
-
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
Hospital
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
Hospital
-
- Durable Medical Equipment & Medical Supplies
- Orofino, ID
- NPI 1558410399
Hospital
-
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Hospital & facility affiliations
- Clearwater Valley Hospital & Clinics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251117003843 | ID | Practitioner - Physician Assistant | 5890286900 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2171884 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Family Medicine | Current | Accepting new patients |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Family Medicine | Past | Accepting new patients |
Locations
301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2171884 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1055 Riverside Ave
Orofino, ID 83544
Mailing address
1055 Riverside Ave
Orofino, ID 83544
Phone (208) 476-5777
Other practice location 1
301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2025.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1083589014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RIVERSIDE AVE",
"city": "OROFINO",
"state": "ID",
"postal_code": "83544",
"telephone_number": "208-476-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 RIVERSIDE AVE",
"city": "OROFINO",
"state": "ID",
"postal_code": "83544",
"telephone_number": "208-476-5777"
}
],
"practiceLocations": [
{
"address_1": "301 Cedar St",
"address_purpose": "LOCATION",
"city": "Orofino",
"state": "ID",
"postal_code": "835449029",
"country_code": "US",
"telephone_number": "208-476-5777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-08",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "2171884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orofino, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.