Vincent Calderon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C8179 Issued in AR

Practice address

10301 Kanis Rd Ste 1
Little Rock, AR 72205-6205

Phone

(501) 562-4838

Fax

(501) 562-1958

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vcalderon456068@direct.stlukeshealth.org
• Direct secure messaging: vincent.calderon@svmgs.eclinicaldirectplus.com

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.

• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480

  Pediatrics

  NPD
• St Vincent Physician Clinics LLC

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134558398
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1972508513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-562-4838",
            "fax_number": "501-562-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C8179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE OF ARKANSAS",
            "identifier": "11185",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5J058",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123526001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE NUMBER",
            "identifier": "1220028",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Gregory Calaway, P.T.
• Shalyn Breh Calaway, CNM
• Abby Caldarera, M.S. CF-SLP
• Michaela Caldarera, APRN
• Josue Oswaldo Calderon
• Angela Kay Caldwell, PHARM D
• Destinee Cheynne Caldwell, PT, DPT
• Indie Dawn Caldwell, MS, MSPAS, PA-C
• Jacqueline Caldwell, MD
• James Landon Caldwell, MD

• Pediatrics Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.