Active NPI
Jeffrey Scott Calder, MD
- Surgery Physician
- Tampa, FL
National Provider Identifier
1205811577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35067611
- Practice address
- 2868 Bayshore Trails Dr
Tampa, FL 33611-5524 - Phone
- (937) 623-0642
- NPI assigned
- Dec 9, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35067611 | OH | Primary |
Addresses
Primary practice location
2868 Bayshore Trails Dr
Tampa, FL 33611-5524
Mailing address
2868 Bayshore Trails Dr
Tampa, FL 33611-5524
Phone (937) 623-0642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067611 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1205811577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 BAYSHORE TRAILS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336115524",
"telephone_number": "937-623-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 BAYSHORE TRAILS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336115524",
"telephone_number": "937-623-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDER",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35067611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.