Individual provider Active NPI

Zachary A Caldwell, PA

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1528595170
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01978 Issued in KS
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1353
Phone
(785) 354-6000
Fax
(785) 354-5004
NPI assigned
May 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2017002625 MO
Physician Assistant 363A00000X 15-01978 KS Primary

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1353

Mailing address

1500 SW 10TH Ave.
Topeka, KS 66604-1353
Phone (785) 354-6000

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170519001965 KS Practitioner - Physician Assistant 7315214400 Reassigns benefits to 3 organizations
I20170830003046 MO Practitioner - Physician Assistant 7315214400 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2017002625MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Labette County Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jul 5, 2021 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 26, 2017 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 26, 2017 Accepting new patients
Labette County Medical Center Current Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jul 5, 2021 Accepting new patients
Labette County Medical Center Current Accepting new patients

Locations

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528595170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE.",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041353",
            "telephone_number": "785-354-6000",
            "fax_number": "785-354-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041353",
            "telephone_number": "785-354-6000",
            "fax_number": "785-354-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ZACHARY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017002625",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.