Caldwell Urology , P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

M-5778 Issued in ID

Legal business name

CALDWELL UROLOGY , P.L.L.C.

Practice address

1620 S Kimball Ave
Caldwell, ID 83605-4547

Phone

(208) 454-9181

Fax

(208) 454-6338

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Donald Stritzke, M.D.

Title

Owner

Phone

(208) 454-9181

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dirk Spencer Sypherd, M.D

  • Urology Physician
  • Spokane, WA
  • NPI 1073593638

  Specialist

  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306804356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S KIMBALL AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054547",
            "telephone_number": "208-454-9181",
            "fax_number": "208-454-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S KIMBALL AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054547",
            "telephone_number": "208-454-9181",
            "fax_number": "208-454-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL UROLOGY , P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRITZKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-454-9181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caldwell Orthodontic Associates
• Caldwell Psychological Services P.a.
• Caldwell Radiological Associates Professional Association
• Caldwell Recovery Center
• Caldwell Senior Living LLC
• Caldwell Ventures LLC
• David Michael Calley, PHARM D
• Afton Campbell Sr, LMSW
• Raul Campos III
• Canyon Counseling Center Inc.

• All providers in Caldwell, ID
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.