Jacquette Caldwell MD PA

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

023105 Issued in SC

Legal business name

JACQUETTE CALDWELL MD PA

Practice address

28 Wildeoak CT
Columbia, SC 29223-3292

Phone

(803) 699-9226

NPI assigned

Oct 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jacquette Caldwell, MD

Title

President/Ceo

Phone

(803) 699-9226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1124370713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILDEOAK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233292",
            "telephone_number": "803-699-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILDEOAK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233292",
            "telephone_number": "803-699-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUETTE CALDWELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JACQUETTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "803-699-9226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "SC",
            "license": "023105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Renate Jacobson, CD DONA
• Dwayne Aubrey Jacobus, D.P.M.
• Richard West Jacocks, PHARMD
• Jacqueline Allen Primary Care LLC
• Terrill D Jacques, CPSS
• Jade Bloom Psychoeducational Services LLC
• Kelsey Jadin
• Pierre G Jaffe, MD
• Jairaj Prashad MD PA
• Cheedy Jaja, PHD, MSN, PMHNP-BC

• Radiology Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Radiology Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.