DR. KENNETH M CALDWELL (NPI# 1336174630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336174630 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M CALDWELL |
| Credential | MD |
| Practice Address |
2093 Henry Tecklenburg Dr Suite 200 Charleston SC 29414-5741 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8439582500 |
| Practice Fax Number | 8439582680 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 14386 | SC | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
14386 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 143865 | 05 | |
| SC | RAILROAD MEDICARE ID-RSFPN | P00727289 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467680793 | Kenneth Lee Caldwell | Orthopaedic Surgery | 3801 Vista Rd Ste 360, Pasadena, TX 77504-2161 | 2009-06-25 |
| 1649489592 | Kenneth H Caldwell | Physical Therapist | Edmond Physical Therapy, 301 S. Bryant, Ashling Square, Bldg. B-100, Edmond, OK 73034 | 2007-05-21 |
| 1457398224 | Kenneth M Caldwell | Orthopaedic Surgery | 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547 | 2006-06-01 |
| 1730177981 | Kenneth Merlin Caldwell | Dentist | 3912 Elvis Presley Blvd, Memphis, TN 38116-5628 | 2005-10-12 |
| 1740674795 | Kenneth Caldwell | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2015-03-26 |
| 1063541738 | Kenneth Lloyd Caldwell | Dentist | 69 N Wren Dr, Pittsburgh, PA 15243-1247 | 2007-03-05 |
| 1538272042 | Kenneth L Caldwell | Day Training/Habilitation Specialist | 230 Huron Ave, Port Huron, MI 48060-3822 | 2006-08-17 |
| Street Address |
2093 HENRY TECKLENBURG DR SUITE 200 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628935 | Kathryn Manning Hargrove | Obstetrics & Gynecology | 2093 Henry Tecklenburg Dr, Ste 207, Charleston, SC 29414-5741 | 2005-06-09 |
| 1760934087 | Alexander L Miller | Physician Assistant | 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 | 2016-11-03 |
| 1427448273 | Sawyer Ann Langston | Physician Assistant | 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 | 2015-02-02 |
| 1952706475 | Terri Southard | Counselor | 2093 Henry Tecklenburg Dr, Suite 202 East, Charleston, SC 29414-5741 | 2014-10-27 |
| 1134538986 | Roper Saint Francis Physicians Network | Internal Medicine | 2093 Henry Tecklenburg Dr, Suite 300e, Charleston, SC 29414 | 2014-08-06 |
| 1871923524 | Jessica Elizabeth Raux | Physician Assistant | 2093 Henry Tecklenburg Dr, Ste. 202e, Charleston, SC 29414-5741 | 2013-11-16 |
| 1891047205 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 | 2012-10-09 |
| 1730457250 | Callie Rowland Powell | Registered Nurse | 2093 Henry Tecklenburg Dr, Suite 300, Charleston, SC 29414-5741 | 2011-12-12 |
| 1356620397 | Roper Saint Franics Physicians Network | Internal Medicine | 2093 Henry Tecklenburg Dr, Suite 202 East, Charleston, SC 29414-5741 | 2011-08-09 |
| 1245540277 | Roper Saint Francis Physicians Network | Surgery | 2093 Henry Tecklenburg Dr, Suite 202e, Charleston, SC 29414 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891047205 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 | 2012-10-09 |
| 1699972935 | Bright Mcconnell IIi Md LLC | Orthopaedic Surgery | 900 Island Park Dr, Suite 105, Charleston, SC 29492-7559 | 2007-06-29 |
| 1073617122 | James B Detorre | Orthopaedic Surgery | 109 Bee St, Charleston, SC 29401-5703 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369030 | Guillaume David Dumont | Orthopaedic Surgery | 2 Medical Park Road, Suite 104, Columbia, SC 29203-6875 | 2008-06-11 |
| 1922111715 | South Carolina Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | 9100 Medcom Street, N Charleston, SC 29406 | 2006-08-16 |
| 1578570107 | Seth P Kupferman | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406 | 2006-08-03 |
| 1720096357 | Gary E Windler | Orthopaedic Surgery | 9100 Medicom St, N Charleston, SC 29406 | 2006-08-03 |
| 1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
| 1427011485 | Thomas A. Leong | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2006-04-10 |
| 1770552481 | Bright Mcconnell IIi | Orthopaedic Surgery | 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7559 | 2006-03-15 |
| 1730162058 | David R Kingery | Orthopaedic Surgery | 811 W Main St Ste 101, Lexington, SC 29072-2500 | 2005-11-21 |
| 1770583817 | Robert Mario Dasilva | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-07-29 |
| 1619575958 | Lexington Health Inc | Orthopaedic Surgery | 146 E Hospital Dr Ste 350, West Columbia, SC 29169-4800 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.