Trevor Russell Caldwell, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD70086737 Issued in WA

Practice address

2811 S 102ND St Ste 170
Tukwila, WA 98168-1870

Phone

(509) 753-7222

NPI assigned

Dec 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Pathology

Education

Univ of Illinois at Chicago College of Dentistry, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1346579984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203405",
            "telephone_number": "509-753-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST STE 170",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681870",
            "telephone_number": "509-753-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15912 E Marietta Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992162552",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 N Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890864400",
            "country_code": "US",
            "telephone_number": "702-791-9000 x13292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Wellsian Way",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524114",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13103 E Mansfield Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161642",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 15th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723715",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 N Division St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980014939",
            "country_code": "US",
            "telephone_number": "509-753-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "TREVOR",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "54516",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD70086737",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT198717",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "17136",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML60093443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V51430",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gisselle Cabral
• Maria Caceres
• Darryl Cade, LMHC
• Cija Cadiente
• Niyafath Ornella Cakpo
• Amarias Cales
• Stacy Carmen Callioux, LMFTA
• Carmile Camisa
• Floyd Allan Campbell, RPH
• Silvia Ruby Campos

• All providers in Tukwila, WA
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.

Verify at the official NPI Registry.