CARMELITA D CAEDO (NPI# 1194796110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194796110 |
| Entity Type | Individual |
| Full Name | CARMELITA D CAEDO |
| Credential | MD |
| Practice Address |
315 W 15th St Liberal KS 67901-2455 |
| Mailing Address |
Po Box 2108 Liberal KS 67905-2108 |
| Practice Telephone | 6206241651 |
| Mailing Telephone | 3166856236 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
04-17155 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 029854 | 01 |
| Street Address |
315 W 15TH ST |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180054 | Carmelita Caedo Md Radiology Pa | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2006-01-28 |
| 1942867627 | Rachel Andreas | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1285291955 | Lauren Taylor Boyce | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1306329438 | Marlon S Bazan | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-14 |
| 1548743636 | Elyse A Bigler | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-13 |
| 1730674235 | Southwest Radiological Consultants LLC | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2018-06-27 |
| 1568979557 | Southwest Medical Center | Anesthesiology | 315 W 15th St, Liberal, KS 67901-2455 | 2017-12-29 |
| 1083124481 | Unnati Basnyat | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2017-10-11 |
| 1932652773 | Pegasus Emergency Physicians, LLC | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-07-28 |
| 1720435746 | Bishal Bista | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 |
|---|---|---|---|---|
| 1467559831 | Kyo Rak Lee | Radiology | 3901 Rainbow Blvd, Mail Stop 4032, Kansas City, KS 66160 | 2006-09-20 |
| 1396793923 | Lisa H Hutchison | Radiology | 10500 Quivira Rd, Overland Park, KS 66215-2373 | 2006-05-05 |
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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.