Susan M Caldwell, MD
Individual provider Active NPI Pediatrics Physician · Sioux City, IA
NPI 1841297355 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1841297355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 30620 (IA)
- Practice address
- 1125 Pierce St
Sioux City, IA 51105-1485 - Phone
- (712) 255-8901
- Fax
- (712) 255-9161
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30620 | IA | MD | Pediatrics Physician |
Interoperability endpoints
- susancaldwell@pp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 30620 | IA | Yes |
Addresses
Primary practice location
1125 Pierce St
Sioux City, IA 51105-1485
Mailing address
1125 Pierce St
Sioux City, IA 51105-1485
Phone (712) 255-8901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163998 | Medicaid | IA | |
| 1163998 | Medicaid | IA |
Other providers in Sioux City, IA
- Cynthia J Butler
- Lucinda M Buys
- C3, Inc
- Devon Cadwell
- Brenda Lea Cain
- Amy L. Callaghan
- Lisa Kay Calvert
- Maureen Camerer
- Camp High Hopes
- Autumn Sue Campbell
All providers in Sioux City, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 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.