John Anthony Calcagno, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD14823 Issued in OR

Practice address

24850 SE Stark St
Ste 150
Gresham, OR 97030-8318

Phone

(503) 491-0714

Fax

(503) 674-2834

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9407/brand/1/csg/1/fhir/r4

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.

• Calcagno Pediatrics PC

  • Pediatrics Physician
  • Gresham, OR
  • NPI 1255322194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1245220771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST",
            "address_2": "STE 150",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308318",
            "telephone_number": "503-491-0714",
            "fax_number": "503-674-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST",
            "address_2": "STE 150",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308318",
            "telephone_number": "503-491-0714",
            "fax_number": "503-674-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCAGNO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD14823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153684",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Caiazza, LMFT
• Courtney Raquel Calavan
• Calcagno Pediatrics PC
• Frank Anthony Calcagno, MD
• James Calcagno, RN
• Beth Renah Caldwell
• Dan Caldwell, OD
• Faren Gabrielle Caldwell, RDH
• Rita Camacho
• Monica H Camara, LMT

• Pediatrics Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.