Conrad Chesnut Caldwell Iii, MD | |
4300 W Memorial Rd, Er Dept., Oklahoma City, OK 73120-8304 | |
(405) 752-3733 | |
(405) 749-4561 |
Full Name | Conrad Chesnut Caldwell Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 4300 W Memorial Rd, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568423515 | NPI | - | NPPES |
100211220A | Medicaid | OK | |
930126932 | Other | OK | RR MEDICARE |
100211220B | Medicaid | OK | |
930119846 | Other | OK | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 22805 (Oklahoma) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 22805 (Oklahoma) | Primary |
Entity Name | Mccurtain Memorial Medical Management, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629020177 PECOS PAC ID: 8022926252 Enrollment ID: O20040626000315 |
Entity Name | Saints Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Emergency Physicians Of Mid-america Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
Mailing Address | Practice Location Address |
---|---|
Conrad Chesnut Caldwell Iii, MD 4401 W Memorial Rd, Suite 121, Oklahoma City, OK 73134-1785 Ph: (405) 751-4664 | Conrad Chesnut Caldwell Iii, MD 4300 W Memorial Rd, Er Dept., Oklahoma City, OK 73120-8304 Ph: (405) 752-3733 |
Dr. Hunter Dale Cook, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-7709 | |
Alejandro Anzaldua, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Ne 10th St, Fmc 2102, Oklahoma City, OK 73104 Phone: 405-271-2230 | |
Dr. Diana Dee Mills-maloney, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10312 Creek Meadow Dr, Oklahoma City, OK 73151 Phone: 405-771-3577 | |
Dr. David Brennan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-7000 | |
Dr. David M. Abercrombie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 Grey Fox Run, Oklahoma City, OK 73131 Phone: 405-478-3969 Fax: 405-478-3815 | |
Dr. Amy L. Sparkman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 940 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-271-2429 | |
Robert D Crane, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3715 Fax: 405-936-5058 |