NPIMap

Organization Active NPI

Caldwell Memorial Hospital, Inc.

Doing business as Caldwell Foot & Ankle

  • Podiatrist
  • Lenoir, NC
National Provider Identifier
1245757764
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CALDWELL MEMORIAL HOSPITAL, INC.
Doing business as
Caldwell Foot & Ankle
Practice address
401 Mulberry St SW Ste 102
Lenoir, NC 28645-5463
Phone
(828) 757-6434
Fax
(828) 757-6435
NPI assigned
Aug 25, 2017
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Karen Shadowens
Title
Cfo
Phone
(828) 757-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NC

Addresses

Primary practice location

401 Mulberry St SW Ste 102
Lenoir, NC 28645-5463

Mailing address

321 Mulberry St SW
Medical Staff Services
Lenoir, NC 28645
Phone (828) 757-5965

Other practice location 1

8439 Valley Blvd
Blowing Rock, NC 28605-8957
Phone (828) 757-6434

Other practice location 2

160 River Bend Dr Ste A
Granite Falls, NC 28630-9371
Phone (828) 757-6434

Other names 1

  • Caldwell Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000355 NC Part B Supplier - Clinic/Group Practice 5395646970 Receives reassigned benefits from 325 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lenoir, NC; Chapel Hill, NC; Blowing Rock, NC; Granite Falls, NC; Hickory, NC; Hudson, NC

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Memorial Hosp Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1245757764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-757-5965",
            "fax_number": "828-757-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6434",
            "fax_number": "828-757-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8439 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Blowing Rock",
            "state": "NC",
            "postal_code": "286058957",
            "country_code": "US",
            "telephone_number": "828-757-6434",
            "fax_number": "828-757-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 River Bend Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Granite Falls",
            "state": "NC",
            "postal_code": "286309371",
            "country_code": "US",
            "telephone_number": "828-757-6434",
            "fax_number": "828-757-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALDWELL MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SHADOWENS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-757-5100"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.