Robert L Caldwell MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00032296 Issued in WA

Legal business name

ROBERT L CALDWELL MD PLLC

Practice address

4905 108TH St SW
Tacoma, WA 98499-3724

Phone

(253) 581-3075

Fax

(253) 581-3178

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Caldwell, MD

Title

Owner

Phone

(253) 564-0654

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• John Yohan Joo, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Shoreline, WA
  • NPI 1720083652
  NPD (past)
• Daisy Sarama Zachariah, MD

  • Legal Medicine
  • Tacoma, WA
  • NPI 1114910775
  NPD (past)
• Claribel K Tan, M.D.

  • Rheumatology Physician
  • Anchorage, AK
  • NPI 1649249483
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1760674089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98886",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984968886",
            "telephone_number": "253-584-3577",
            "fax_number": "253-584-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 108TH ST SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984993724",
            "telephone_number": "253-581-3075",
            "fax_number": "253-581-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L CALDWELL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-564-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00032296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "130531",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107945",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Roberson, LSW
• Jason Roberson, MC61651253
• Kendra Corr Roberson, PHD
• Sheila M Roberson, LMFT
• Robert E Ettlinger MD PS
• Lisa Annette Roberton, M.A., CCC-A
• Shirley Robertosn
• Alex Daniel Roberts, SUDPT
• Andrej James Roberts, LMP
• Angel Roberts, RN

• Internal Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.