Individual provider Active NPI

Douglas Caldwell, M.D.

  • Family Medicine Physician
  • Easton, PA
National Provider Identifier
1184718462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 035420-E Issued in PA
Practice address
2461 Nazareth Rd
25TH Street Shopping Center
Easton, PA 18045-2743
Phone
(610) 258-5300
Fax
(610) 258-5138
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 035420-E PA Primary

Addresses

Primary practice location

2461 Nazareth Rd
25TH Street Shopping Center
Easton, PA 18045-2743

Mailing address

2461 Nazareth Rd
25TH Street Shopping Center
Easton, PA 18045-2743
Phone (610) 258-5300

Other identifiers 1

IdentifierTypeStateIssuer
1062670MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000569 PA Practitioner - Family Practice 6305021379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 035420-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redi Care Physicians, Inc CurrentSince Apr 21, 1987 Accepting new patients

Locations

2461 Nazareth Rd
Easton, PA 18045
Phone (610) 252-1020

648 N Main St
Taylor, PA 18517
Phone (570) 348-1101

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184718462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 NAZARETH RD",
            "address_2": "25TH STREET SHOPPING CENTER",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452743",
            "telephone_number": "610-258-5300",
            "fax_number": "610-258-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 NAZARETH RD",
            "address_2": "25TH STREET SHOPPING CENTER",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452743",
            "telephone_number": "610-258-5300",
            "fax_number": "610-258-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 035420-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062670",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.