Active NPI
Samuel S Caldwell, MD
- Orthopaedic Surgery Physician
- Saratoga Springs, NY
National Provider Identifier
1205021805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 147389
- Legal business name
- SAMUEL S CALDWELL, MD
- Practice address
- 19 West Ave
Ste 102
Saratoga Springs, NY 12866-6049 - Phone
- (518) 584-0295
- Fax
- (518) 584-0296
- NPI assigned
- Sep 7, 2007
- Last updated
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel S Caldwell, MD
- Title
- Owner
- Phone
- (518) 584-0295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 147389 | NY | Primary |
Addresses
Primary practice location
19 West Ave
Ste 102
Saratoga Springs, NY 12866-6049
Mailing address
19 West Ave
Ste 102
Saratoga Springs, NY 12866-6049
Phone (518) 584-0295
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000406955001 | Other | BLUE SHIELD | |
| 18120 | Other | MVP | |
| 00733124 | Medicaid | NY | |
| 113749 | Other | WELLCARE | |
| 2582 | Other | CDPHP | |
| 0069716 | Other | GHI | |
| 85E121 | Other | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Saratoga Springs, NY
- NPI 1396744520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1205021805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WEST AVE",
"address_2": "STE 102",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666049",
"telephone_number": "518-584-0295",
"fax_number": "518-584-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WEST AVE",
"address_2": "STE 102",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666049",
"telephone_number": "518-584-0295",
"fax_number": "518-584-0296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL S CALDWELL, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-584-0295",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "147389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000406955001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "18120",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00733124",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "113749",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "2582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0069716",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "85E121",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.