KAREN STARK CALDEMEYER (NPI# 1679511356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679511356 |
| Entity Type | Individual |
| Full Name | KAREN STARK CALDEMEYER |
| Other Name | KAREN SUE STARK |
| Credential | MD |
| Practice Address |
9925 N Clear Fork Rd Prescott AZ 86305-9016 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37417 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13702 | NH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042-0011450 | VT | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01039349 | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1528 Central Ave, Indianapolis, IN 46202 | 9525951100 | 6122944903 |
| Street Address |
9925 N CLEAR FORK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-9016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1689239824 | Thumb Butte Radiology, LLC | Radiology | 3120 Willow Creek Rd, Prescott, AZ 86301-6699 | 2019-05-02 |
| 1588961585 | Bruce Medford Burtan | Radiology | 2097 Summer Breeze Dr, Prescott, AZ 86303-7412 | 2011-02-28 |
| 1932171618 | David K Lloyd | Radiology | 1000 Ainsworth Dr Ste 115, Prescott, AZ 86305-1667 | 2006-02-06 |
| 1225019425 | Timothy D Olthoff | Radiology | 810 Whipple St, Prescott, AZ 86301-1606 | 2005-11-07 |
| 1669476123 | Karl Theodore Wickstrom | Radiology | 790 Gail Gardner Way, Prescott, AZ 86305-2337 | 2005-06-10 |
| 1609960707 | Mary M Poncel | Radiology | 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-10-03 |
| 1235236589 | Bernard Sakowicz | Radiology | 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| 1962418863 | Richard Wallace Vanbuskirk Sr. | Radiology | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-07-31 |
| 1427006253 | Medwise PC | Radiology | 790 Gail Gardner Way, Prescott, AZ 86305-2337 | 2006-05-04 |
| 1639132095 | Mohamed A Kirdani | Radiology | 980 Willow Creek Rd, Prescott, AZ 86301-1611 | 2006-04-07 |
| Find all providers in PRESCOTT | ||||
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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.