Santiago W Calderon MD PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME70874 Issued in FL

Legal business name

SANTIAGO W CALDERON MD PA

Practice address

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980

Phone

(706) 529-8953

Fax

(706) 410-2421

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Santiago W Calderon, MD

Title

President

Phone

(706) 529-8953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Santiago W Calderon MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Santiago W Calderon MD PA

  • Infectious Disease Physician
  • Orange City, FL
  • NPI 1497037030
  NPD tax ID

Locations

Practitioners 6

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

• Santiago Willman Calderon Perez, MD

  • Infectious Disease Physician
  • Palm Coast, FL
  • NPI 1790755759
  Medicare reassignment NPD
• Laurette Cornel, ARNP

  • Family Nurse Practitioner
  • Port Orange, FL
  • NPI 1942691373
  Medicare reassignment NPD
• Chris Kechriotis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tavares, FL
  • NPI 1891721627
  NPD (past)
• Ronald Roth, MD

  • Gastroenterology Physician
  • Tavares, FL
  • NPI 1013105253
  NPD (past)
• Deborah L Zeagler, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tavares, FL
  • NPI 1417991746
  NPD (past)
• Marcus C Bethea III, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Norfolk, VA
  • NPI 1659308773
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1871745976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 SAN MARINO CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462608",
            "telephone_number": "706-529-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MEMORIAL MEDICAL PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645980",
            "telephone_number": "706-529-8953",
            "fax_number": "706-410-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4916 San Marino Cir",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462608",
            "country_code": "US",
            "telephone_number": "706-529-8953",
            "fax_number": "706-410-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANTIAGO W CALDERON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-529-8953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME70874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Sanchez, DPT
• Ashley Sanderson
• Shauna Lynn Sandford, NP
• Tracy Sanfilippo
• Jose L Santana
• Raymond Santiago, P.A.-C
• Noel Dolendo Santos, P.T.
• Sara J. Riley, L.M.H.C., P.a.
• Maria Rizza Sarabia, P.T.
• Caroline M Sargeant, ARNP

• Infectious Disease Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.