Aaron K Calodney M.D., P.a.
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Tyler, TX
NPI 1831291723 · NPPES record last updated Apr 23, 2012
Key facts
- NPI
- 1831291723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- AARON K CALODNEY M.D., P.A.
- Practice address
- 1814 Roseland Blvd
#200
Tyler, TX 75701-4234 - Phone
- (903) 531-2500
- Fax
- (903) 595-3785
- NPI assigned
- Sep 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Aaron K Calodney, M.D.
- Title
- President
- Phone
- (903) 531-2500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
1814 Roseland Blvd
#200
Tyler, TX 75701-4234
Mailing address
PO Box 130459
Tyler, TX 75713-0459
Phone (903) 531-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021KV | Other | BLUE CROSS BLUE SHIELD | |
| 170067601 | Medicaid | TX |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.