DR. JENNIFER JOHNSON CALDWELL, MD, PA (NPI# 1558425470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558425470 |
| Entity Type | Organization |
| Organization Name | DR. JENNIFER JOHNSON CALDWELL, MD, PA |
| Other Organization Name | NA |
| Practice Address |
1315 St. Joseph's Parkway #1309 Houston TX 77002 |
| Mailing Address |
2450 Louisiana St 400-716 Houston TX 77006-2380 |
| Practice Telephone | 7136544493 |
| Practice Fax Number | 7136540020 |
| Mailing Telephone | 7135208963 |
| Mailing Fax Number | 7135236941 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JENNIFER LAVETTE JOHNSON-CALDWELL (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 7136544493 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C23208 | TX | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | K5571 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 15777101 | 05 |
| Other Name | Type Code |
|---|---|
| na | Other Name - Individual/Organization |
| Street Address |
1315 ST. JOSEPH'S PARKWAY #1309 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1336537422 | Prabha Solanki | Family Medicine | 5850 Rogerdale, Questdiagnostics, Houston, TX 77072 | 2014-12-26 |
| 1619384963 | Paradigm Center for Integrative Medicine, Pllc | Family Medicine | 7505 Fannin St Ste 120, Houston, TX 77054-1929 | 2014-07-18 |
| 1922428994 | Susan Phan | Family Medicine | 929 Gessner Rd Ste 2450, Houston, TX 77024-2593 | 2014-04-17 |
| 1013268689 | Henry Eugene Ruehle | Family Medicine | 18315 Langsbury Dr, Houston, TX 77084-3947 | 2012-09-24 |
| 1164726956 | 290 Mangum Healthcare LLC | Family Medicine | 5005 W 34th St, Suite 102c, Houston, TX 77092-4200 | 2011-01-07 |
| 1821390907 | David N Ngene | Family Medicine | 10190 Harwin Dr, Ste C, Houston, TX 77036-1606 | 2010-11-23 |
| 1508099136 | Wilcrest Medical Clinic Inc. | Family Medicine | 11732 Wilcrest Drive, Houston, TX 77099-4757 | 2009-08-31 |
| 1679731970 | Cheryl K. Johnson Md Pa | Family Medicine | 12121 Richmond Ave Ste 226, Houston, TX 77082-2454 | 2008-05-23 |
| 1376739185 | Afaf Z Shah | Family Medicine | 8840 Memorial Dr, Houston, TX 77024-5809 | 2007-09-15 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on DR. JENNIFER JOHNSON CALDWELL, MD, PA.
| 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.