DR. JOE BUCK CALDWELL (NPI# 1164495974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164495974 |
Entity Type | Individual |
Full Name | DR. JOE BUCK CALDWELL |
Credential | MD |
Practice Address |
520 East Douglas Blvd Tyler TX 75702 |
Mailing Address |
Po Box 5500 Tyler TX 75712-5500 |
Practice Telephone | 9035101175 |
Practice Fax Number | 9035108806 |
Mailing Telephone | 9033246400 |
Enumeration Date | 2006-02-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C3002 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CHIPS | 123795 | 01 |
TX | MEDICARE RAILROAD | P00003192 | 01 |
TX | BCBS | CA08J0200 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275594053 | Joe Pat Caldwell | Emergency Medicine | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2006-03-31 |
Street Address |
520 EAST DOUGLAS BLVD |
City | TYLER |
State | TX |
Zip Code | 75702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881668986 | Amy J Hosch | Family Medicine | 520 East Douglas Blvd, Tyler, TX 75702 | 2006-02-15 |
1275506016 | Kenneth D Cushman | Family Medicine | 520 East Douglas Blvd, Tyler, TX 75702 | 2006-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
Find all providers in zip 75702 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518220367 | Beurett Alexander King Jr. | Radiology | 1517 Cold Water Dr, Tyler, TX 75703-0937 | 2012-06-18 |
1093039539 | Melinda Faye Coker | Radiology | 910 E Houston St Ste 650, Tyler, TX 75702 | 2010-03-25 |
1548219025 | Sonowave Inc. | Radiology | 417 S Chilton Ave, Tyler, TX 75702-8017 | 2006-05-10 |
1427019447 | Ralph A Gutierrez | Radiology | 1021 E Watkins St, Tyler, TX 75701-7120 | 2006-03-29 |
1477554673 | James F. Cabell IIi | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2005-08-10 |
1871594697 | Modified Barium Swallow Service, P.a. | Radiology | 3724 Fm 346 E, Tyler, TX 75703-8340 | 2005-08-02 |
1962814798 | Justin Mccaslin | Radiology | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2014-05-28 |
1689963357 | Jose Luis Enriquez | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2011-04-04 |
1578879151 | Blake A Watson | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-08-20 |
1982923975 | Shannon B. Glass | Radiology | 11937 Us Highway 271, Tyler, TX 75708 | 2010-05-31 |
Find all providers in TYLER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.