Active NPI
Troy Caldwell, MD
- Psychiatry Physician
- Rusk, TX
National Provider Identifier
1215060082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E8372
- Practice address
- 379 FM 2972
B Pod Administrative Area
Rusk, TX 75785-0999 - Phone
- (903) 683-5781
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E8372 | TX | Primary |
Addresses
Primary practice location
379 FM 2972
B Pod Administrative Area
Rusk, TX 75785-0999
Mailing address
2609 Sherrill Park Dr
Richardson, TX 75082-3215
Phone (972) 231-4469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZOOOPJ484 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215060082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 SHERRILL PARK DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823215",
"telephone_number": "972-231-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 FM 2972",
"address_2": "B POD ADMINISTRATIVE AREA",
"city": "RUSK",
"state": "TX",
"postal_code": "757850999",
"telephone_number": "903-683-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "TROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "E8372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZOOOPJ484",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rusk, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.