RUSSELL B CALDWELL MD PC (NPI# 1962500181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962500181 |
| Entity Type | Organization |
| Organization Name | RUSSELL B CALDWELL MD PC |
| Practice Address |
1810 116th Ave Ne Suite 100 Bellevue WA 98004-3058 |
| Practice Telephone | 4254552276 |
| Practice Fax Number | 4254551511 |
| Mailing Telephone | 4254552276 |
| Mailing Fax Number | 4254551511 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | RUSSELL B CALDWELL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4254547546 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00015594 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1810 116TH AVE NE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507602 | Elizabeth Herseth | Family Medicine | 1810 116th Ave Ne, Bellevue, WA 98004 | 2005-11-29 |
| 1598110603 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2016-04-26 |
| 1164801189 | Rikesh T. Parikh Md Pllc | Surgery | 1810 116th Ave Ne, Suite 102, Bellevue, WA 98004-3058 | 2015-05-22 |
| 1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
| 1124320874 | Diane Kay Demopulos | Nurse Practitioner | 1810 116th Ave Ne, Suite D1, Bellevue, WA 98004-3058 | 2010-12-01 |
| 1245548338 | Kathleen Marie Nielsen | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-09-22 |
| 1033446802 | Belladonna Breast Imaging Center Pllc | Clinic/Center | 1810 116th Ave Ne, Ste 101, Bellevue, WA 98004-3058 | 2009-11-15 |
| 1598092751 | Clive M Liu Md Pllc | Dermatology | 1810 116th Ave Ne, Suite 100, Bellevue, WA 98004-3058 | 2009-11-09 |
| 1750538450 | Rikesh Terence Parikh | Surgery | 1810 116th Ave Ne, Suite 102, Bellevue, WA 98004-3058 | 2008-08-25 |
| 1598945578 | Kristin M. Rosen | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2007-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760646269 | Carla J. Bauman, Md | Dermatology | 1260 116th Ave Ne Ste 100, Bellevue, WA 98004-3800 | 2008-07-14 |
| 1023144094 | Samir P. Master | Dermatology | 832 102nd Ave Ne, Bellevue, WA 98004-4117 | 2007-02-26 |
| 1639278260 | Thomas W Weir | Dermatology | 1515 116th Ave Ne Ste 202, Bellevue, WA 98004-3811 | 2006-09-21 |
| 1922107523 | Ray A Carlsen | Dermatology | 2330 130th Ave Ne Ste 201, Bellevue, WA 98005-1756 | 2006-09-21 |
| 1316049331 | John Leo Winfield | Dermatology | 1551 116th Ave Ne, Bellevue, WA 98004 | 2006-09-01 |
| 1578673372 | Kyle Justin Garton | Dermatology | 2330 130th Ave Ne, Suite 201, Bellevue, WA 98005-1756 | 2006-08-30 |
| 1790793487 | Clive Maopang Liu | Dermatology | 1810 116th Ave Ne Ste 100, Bellevue, WA 98004 | 2006-08-04 |
| 1952365140 | Elizabeth Chandler Hughes | Dermatology | 626 120th Ave Ne, Ste B104, Bellevue, WA 98005-3077 | 2006-04-14 |
| 1699736843 | Diane S Chiu | Dermatology | 1200 112th Ave Ne Ste C187, Bellevue, WA 98004-3749 | 2006-03-29 |
| 1952381733 | Carla J Bauman | Dermatology | 626 120th Ave Ne Ste B104, Bellevue, WA 98005-3077 | 2006-01-18 |
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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.