KEVIN A CALDER (NPI# 1770831323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770831323 |
| Entity Type | Individual |
| Full Name | KEVIN A CALDER |
| Credential | MD |
| Practice Address |
900 W Temple Ave Effingham IL 62401 |
| Mailing Address |
900 W Temple Ave Effingham IL 62401-2121 |
| Practice Telephone | 2175402350 |
| Mailing Telephone | 2175402350 |
| Mailing Fax Number | 2173472323 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036-137408 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036137408 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 N Rutledge St, 3rd Floor, Springfield, IL 627026700 | 2175458000 | 2175452588 |
| Street Address |
900 W TEMPLE AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448456 | Bashar Alzahabi | Emergency Medicine | 900 W Temple Ave, Ste 103, Effingham, IL 62401-2186 | 2005-09-23 |
| 1649703141 | Kayla D Mummel | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401 | 2017-04-11 |
| 1275918393 | Kari Fulk | Registered Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2015-07-30 |
| 1326464520 | Jfj Eyecare Ltd | Optometrist | 900 W Temple Ave, Suite 104 & 105, Effingham, IL 62401-2121 | 2014-03-12 |
| 1003179615 | St Anthony's Memorial Hospital Sis of Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 900 W Temple Ave, Effingham, IL 62401-2121 | 2012-06-19 |
| 1083922090 | Paul D. Oltman, M.d., S.c. | Family Medicine | 900 W Temple Ave, Suite 204, Effingham, IL 62401-2121 | 2010-09-24 |
| 1811209786 | Sean R Morgan | Dentist | 900 W Temple Ave, Suite 208, Effingham, IL 62401-2121 | 2010-07-08 |
| 1154651776 | Southern Illinois Healthcare Foundation, Inc. | Dentist | 900 W Temple Ave, Suite 208, Effingham, IL 62401-2121 | 2010-01-04 |
| 1598998981 | Brandi Wood | Licensed Practical Nurse | 900 W Temple Ave, Suite 101, Effingham, IL 62401-2121 | 2009-09-01 |
| 1740439504 | Daniel L Shadle | Registered Nurse | 900 W Temple Ave, Effingham, IL 62401-2121 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
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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.