Dr. Jennifer Johnson-Caldwell, M.D.,P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR. JENNIFER JOHNSON-CALDWELL, M.D.,P.A.

Practice address

1315 St Joseph Pkwy
Ste 140
Houston, TX 77002-8233

Phone

(713) 520-8963

Fax

(713) 523-6941

NPI assigned

Jul 5, 2005

Organization subpart

Yes

Parent organization

DR JENNIFER JOHNSON-CALDWELL MD PAAs reported in NPPES

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

Authorized official

Name

Jennifer Lavette Johnson-Caldwell, MDNPI 1093711269

Title

Internal Medicine

Phone

(713) 520-8963

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Dr Jennifer Johnson-Caldwell Mdpa2 organizations share this tax ID, including this one

Part of

Dr Jennifer Johnson-Caldwell Mdpa

Other organizations with this tax ID 1

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

• Dr. Jennifer Johnson Caldwell, MD, PA

  • Adult Medicine Physician
  • Houston, TX
  • NPI 1558425470
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr. Jennifer Johnson Caldwell, MD, PA

  • Adult Medicine Physician
  • Houston, TX
  • NPI 1558425470
  NPPES parent name

Practitioners 2

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

• Jennifer Lavette Johnson-Caldwell, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1093711269
  Medicare reassignment Care Compare group NPD Authorized official
• Robin Boliver-Campbell, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1003096033
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366449357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST",
            "address_2": "STE 400716",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062380",
            "telephone_number": "713-520-8963",
            "fax_number": "713-523-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-520-8963",
            "fax_number": "713-523-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNIFER JOHNSON-CALDWELL, M.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR JENNIFER JOHNSON-CALDWELL MD PA",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-CALDWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "713-520-8963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157180403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157577101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Hope Consulting, Training, and Educational Services, LLC
• Dr. J. J. Lin and Associates, PLLC
• Dr. Jannis Moody, PLLC
• Dr. Jason Idiculla O.D. PA
• Dr. Jennifer Johnson Caldwell, MD, PA
• Dr. Joe Chian Lin PA
• Dr. John J. Nguyen, D.O. P.a.
• Dr. Joo Clinic PLLC
• Dr. Jovan M. Popovich M.D., P.a.
• Dr. Kim-Thu Chu, MD,PA

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.