Active NPI
Eddy Lloyd Caldwell, DPM
- Podiatrist
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- AR-163
- Practice address
- 406 E Washington Ave
Jonesboro, AR 72401-3108 - Phone
- (870) 933-8900
- Fax
- (870) 933-2611
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | AR-163 | AR | Primary |
Addresses
Primary practice location
406 E Washington Ave
Jonesboro, AR 72401-3108
Mailing address
PO Box 1984
Jonesboro, AR 72403-1984
Phone (870) 933-8900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130246748 | Other | AR | CLINIC NUMBER |
| 167681748 | Other | AR | MEDICAID CLINIC |
| 130109717 | Medicaid | AR | |
| 5T344F963 | Other | AR | MEDICARE CLLINIC |
| 480034780 | Other | AR | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Osler Dr
Suite D
Jonesboro, AR 72401-4329
Phone (870) 933-8900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 48 |
| Removal of skin lesions | 44 |
| Removal of nail tissue | 562 |
| Removal or shaving of skin growth | 186 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR-163 | AR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Care of Northeast Arkansas PA | Podiatrist | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500
406 E Washington Ave
Jonesboro, AR 72401
Phone (866) 763-3044
801 Osler Dr
Ste D
Jonesboro, AR 72401
Phone (870) 336-3366
912 Osler Dr
Ste B
Jonesboro, AR 72401
Phone (870) 933-8900
Organizations & group practices 2
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.
-
- Podiatrist
- Jonesboro, AR
- NPI 1750550489
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1235131640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1984",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031984",
"telephone_number": "870-933-8900",
"fax_number": "870-933-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013108",
"telephone_number": "870-933-8900",
"fax_number": "870-933-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "EDDY",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "AR-163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC NUMBER",
"identifier": "130246748",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CLINIC",
"identifier": "167681748",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130109717",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CLLINIC",
"identifier": "5T344F963",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "480034780",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.