Keith Dayrl Caldwell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02459 Issued in TX

Practice address

216 E Blanco Rd
Ste #205
Boerne, TX 78006-2058

Phone

(830) 816-2774

Fax

(830) 249-9184

NPI assigned

Nov 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1821278110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 WIND WALKER",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233852",
            "telephone_number": "210-437-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E BLANCO RD",
            "address_2": "STE #205",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062058",
            "telephone_number": "830-816-2774",
            "fax_number": "830-249-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KEITH",
        "middle_name": "DAYRL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Kaler Cain, LPC
• Steven Michael Calamia, FNP-C
• Jared Calaway, LPC
• Jennifer Calder
• Jessica Calderon, M.A., LPC
• Brent J. Callegari, DENTIST
• Alicia Campbell, MCD CCC-SLP
• Rebekah Campbell, PT, DPT
• Kathryn Eck Camplen, WHNP/CNM
• Campos Family Dental, P.C.

• Physician Assistant in Boerne, TX
• Providers in Boerne, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.