Active NPI
Douglas Caldwell, M.D.
- Family Medicine Physician
- Easton, PA
National Provider Identifier
1184718462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 035420-E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1062670 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 035420-E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redi Care Physicians, Inc | Current | 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.
-
- General Practice Physician
- Easton, PA
- NPI 1568417418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.