DR. DOUGLAS PAUL CALDWELL (NPI# 1982682209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982682209 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS PAUL CALDWELL |
| Credential | M.D. |
| Practice Address |
7505 Metro Blvd Ste 400 Edina MN 55439-3010 |
| Practice Telephone | 6125732000 |
| Practice Fax Number | 6125732274 |
| Mailing Telephone | 6125732200 |
| Mailing Fax Number | 6125732274 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
64827 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12348 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00042409 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8361081 | 05 | |
| ID | 1982682209 | 05 | |
| WA | L&I PROVIDER NUMBER | 172345 | 01 |
| WA | L&I PROVIDER NUMBER | 172074 | 01 |
| WA | L&I PROVIDER NUMBER | 184435 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19020 33rd Ave W, Suite 210, Lynnwood, WA 980364746 | 4255631500 | 4255631501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366775355 | Douglas Dwight Caldwell II | Military Health Care Provider | 150 Fitzgerald Dr, Travis Afb, CA 94535-1205 | 2009-09-09 |
| 1326488461 | Douglas Coursen Caldwell | Licensed Practical Nurse | 4185 E Wildcat Reserve Pkwy, G70, Highlands Ranch, CO 80126-6801 | 2013-07-03 |
| 1013065069 | Douglas L. Caldwell | Psychiatry & Neurology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1184718462 | Douglas Caldwell | Family Medicine | 2461 Nazareth Rd, 25th Street Shopping Center, Easton, PA 18045-2743 | 2006-10-03 |
| Street Address |
7505 METRO BLVD STE 400 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759193 | Christina Marie Braatz | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2005-09-09 |
| 1083022198 | Andrew Tyler Miller | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2014-08-01 |
| 1285045534 | Duncan Ben Davidson | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2014-05-08 |
| 1386063295 | Amanda Baillargeon | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2014-04-08 |
| 1013359744 | Meghan Maureen Davitt | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2013-07-23 |
| 1912347493 | Brenda Joy Hyde | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2013-06-28 |
| 1609214576 | Kayleen Jahangir | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2013-06-12 |
| 1902153240 | Anna Maria Blem Milner | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2012-08-06 |
| 1609131887 | Jillian Ann Karow | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2012-07-12 |
| 1932469673 | Alexander Zachary Copelan | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2012-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| 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 |
|---|---|---|---|---|
| 1417164005 | Rochelle A Wolfe | Radiology | 4100 Minnesota Dr Ste 310, Edina, MN 55435-5417 | 2007-05-16 |
| 1699794792 | David Albert Swanson | Radiology | 5720 Long Brake Trl, Edina, MN 55439-2620 | 2006-07-19 |
| 1407849391 | Robert A Pollock | Radiology | 7505 Metro Blvd, Ste 400, Edina, MN 55439 | 2005-08-25 |
| 1619970910 | Proactive Imaging LLC | Radiology | 4000 W 76th St, Ste 100, Edina, MN 55435-5104 | 2005-05-31 |
| 1083022198 | Andrew Tyler Miller | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2014-08-01 |
| 1386063295 | Amanda Baillargeon | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2014-04-08 |
| 1912347493 | Brenda Joy Hyde | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2013-06-28 |
| 1609214576 | Kayleen Jahangir | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2013-06-12 |
| 1063859288 | Mohammad Abbas Kassir | Radiology | 7505 Metro Blvd, Ste 400, Edina, MN 55439-3010 | 2013-05-29 |
| 1609131887 | Jillian Ann Karow | Radiology | 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 | 2012-07-12 |
| Find all providers in EDINA | ||||
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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.