Active NPI
Thomas Conrad Caldwell Jr., M.D.
- Urology Physician
- Hixson, TN
National Provider Identifier
1891879193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 017731
- Practice address
- 2051 Hamill Rd
Suite 201
Hixson, TN 37343-4026 - Phone
- (423) 877-2844
- Fax
- (423) 877-1959
- NPI assigned
- Oct 24, 2006
- Last updated
- May 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 017731 | TN | Primary |
Addresses
Primary practice location
2051 Hamill Rd
Suite 201
Hixson, TN 37343-4026
Mailing address
2051 Hamill Rd
Suite 201
Hixson, TN 37343-4026
Phone (423) 877-2844
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065950 | Other | TN | BLUE CROSS PROVIDER ID |
| 4034512 | Other | TN | AETNA ID |
| 4156364 | Other | TN | BLUE CROSS ID |
| 0000143907 | Other | TN | UNITED HEALTHCARE ID |
| 3028429 | Medicaid | TN | |
| 3000262 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017731 | TN | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1891879193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 HAMILL RD",
"address_2": "SUITE 201",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434026",
"telephone_number": "423-877-2844",
"fax_number": "423-877-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 HAMILL RD",
"address_2": "SUITE 201",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434026",
"telephone_number": "423-877-2844",
"fax_number": "423-877-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "THOMAS",
"middle_name": "CONRAD",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "017731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "3065950",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "4034512",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "4156364",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "0000143907",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3028429",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000262",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.