Active NPI
Richard Thomas Caldwell, M.D.
- Family Medicine Physician
- Lake Charles, LA
National Provider Identifier
1952392532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.207803
- Practice address
- 2000 Opelousas Street
Lake Charles, LA 70601 - Phone
- (337) 439-9983
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | F3804 | TX | |
| Family Medicine Physician | 207Q00000X | 24446 | CO | |
| Family Medicine Physician | 207Q00000X | F3804 | TX | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 24446 | CO | |
| Family Medicine Physician | 207Q00000X | 2014-0048 | NM | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 2014-0048 | NM | |
| Family Medicine Physician | 207Q00000X | MD.207803 | LA | Primary |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | MD.207803 | LA |
Addresses
Primary practice location
2000 Opelousas Street
Lake Charles, LA 70601
Mailing address
2000 Opelousas Street
Lake Charles, LA 70601
Phone (337) 439-9983
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 643610 | Medicaid | AZ | |
| 16704070 | Medicaid | CO | |
| S1607 | Medicaid | NM |
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 |
|---|---|---|---|
| 24446 | CO | MD | Sports Medicine (Internal Medicine) Physician |
| 2014-0048 | NM | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Shiprock, NM
- NPI 1407039589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1952392532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 OPELOUSAS STREET",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-439-9983",
"fax_number": "337-310-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OPELOUSAS STREET",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-439-9983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "RICHARD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "TX",
"license": "F3804",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "24446",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F3804",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "CO",
"license": "24446",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "2014-0048",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "NM",
"license": "2014-0048",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.207803",
"primary": true
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "LA",
"license": "MD.207803",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "643610",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16704070",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S1607",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.