Reynal Leon Caldwell Sr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R5E11 Issued in MO

Practice address

2880 Netherton Dr
Suite 103
Saint Louis, MO 63136-4697

Phone

(314) 521-7768

Fax

(314) 838-3683

NPI assigned

Jul 13, 2006

Last updated

Aug 3, 2012By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caldwell General Practice, Inc.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1467450023
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1972528750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NETHERTON DR",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364697",
            "telephone_number": "314-521-7768",
            "fax_number": "314-838-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NETHERTON DR",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364697",
            "telephone_number": "314-521-7768",
            "fax_number": "314-838-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "REYNAL",
        "middle_name": "LEON",
        "name_suffix": "Sr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5E11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242386712",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Caldwell, PT
• Jade Leanna Caldwell, RD
• Jane E Caldwell, MD
• Katherine Marie Caldwell, MD
• Maura E Caldwell, LPC
• Shaylee Caldwell
• Kiana Alexis Caler
• Archna Goel Calfee, MD
• Ryan Patrick Calfee, MD
• Natalie Wong Calhoon, M.D.

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.