Caldwell Medical Group of North Tulsa LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

CALDWELL MEDICAL GROUP OF NORTH TULSA LLC

Practice address

8014 S 101St East Ave
Tulsa, OK 74133-4579

Phone

(918) 949-9910

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Kammie Caldwell, MD

Title

Sole Member

Phone

(918) 485-0291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1790155562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334579",
            "telephone_number": "918-949-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334579",
            "telephone_number": "918-949-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL MEDICAL GROUP OF NORTH TULSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KAMMIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "918-485-0291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Calava, DO
• Christa Calaway
• Emily Calder, ATC
• Mark M Calder, MD/MPH
• Emily Calderon
• Caldwell Toxicology Labs LLC
• Autum Michole Caldwell, P.A. - C
• Elizabeth Caldwell
• Everette Brent Caldwell Jr.
• John Dennis Caldwell

• Medical Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.