Active NPI
John Matthews Caldwell, MD
- Internal Medicine Physician
- Mt Pleasant, MI
National Provider Identifier
1710065776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301038273
- Practice address
- 314 S Brown St
Mt Pleasant, MI 48858 - Phone
- (989) 953-5400
- Fax
- (989) 953-5401
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301038273 | MI | Primary |
Addresses
Primary practice location
314 S Brown St
Mt Pleasant, MI 48858
Mailing address
1625 W Bluegrass Rd
Mt Pleasant, MI 48858
Phone (989) 773-4825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710065776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 W BLUEGRASS RD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-773-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S BROWN ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-953-5400",
"fax_number": "989-953-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "JOHN",
"middle_name": "MATTHEWS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301038273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.