Active NPI
Samuel Quentin Caldwell, RN
- Certified Registered Nurse Anesthetist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020944
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-4491
- NPI assigned
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4704326483 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020944 | OH | Primary |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
9941 Dixie Hwy Apt 1
Clarkston, MI 48348-2466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, FL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221026000941 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3971979303 | Reassigns benefits to 2 organizations |
| I20240511000142 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3971979303 | Reassigns benefits to 1 organization |
| I20250910002377 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3971979303 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health Macomb Oakland HospitalPromedica Central PhysiciansBaycare Medical Group, Inc.
Practice addresses (Care Compare)
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589
3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Hospital & facility affiliations
- St Josephs Hospital
- Henry Ford Health Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
7924 Solutions Ctr Dr
Chicago, IL 60677
7920 Solutions Ctr Dr
Chicago, IL 60677
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Interoperability endpoints
- scaldwell1119913@direct.hfhs.org
Organizations & group practices 16
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.
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
MI, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Optometrist
- Sylvania, OH
- NPI 1871912410
-
- Durable Medical Equipment & Medical Supplies
- Sylvania, OH
- NPI 1932595428
-
- Rehabilitation Hospital Unit
- Warren, MI
- NPI 1033180765
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- Psychiatric Hospital Unit
- Warren, MI
- NPI 1306816426
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1518124320
-
- Nurse Practitioner
- Warren, MI
- NPI 1578696092
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
Hospital
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1376129114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9941 DIXIE HWY APT 1",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483482466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "SAMUEL",
"middle_name": "QUENTIN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4704326483",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.