CALDWELL MEDICAL GROUP, PLLC
NPI 1245822881
Internal Medicine in Broken Arrow, OK

Active since February 05, 2021CLIA 37D2329273 · Accreditation
2601 N ASPEN AVE STE 1011, BROKEN ARROW, OK 74012(918) 994-7962 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2026, Jul 19, 2026, Feb 5, 2021 (3 updates tracked since 2021).

About Caldwell Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALDWELL MEDICAL GROUP, PLLC (NPI 1245822881) is a healthcare organization registered as an internal medicine in Broken Arrow, Oklahoma and active in the NPI registry since February 2021. The organization holds an CLIA Accreditation certificate valid through August 25, 2027 and lists Kammie Marie Caldwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1245822881
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCALDWELL MEDICAL GROUP, PLLC
Location Address2601 N ASPEN AVE STE 1011Broken Arrow, OK 74012-1375
Mailing Address2601 N Aspen Ave Ste 1011Broken Arrow, OK 74012-1375 · (918) 994-7962
Organization SubpartNo
Authorized OfficialKammie Marie CaldwellOwner · (918) 485-1205
Enumeration DateFebruary 5, 2021
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1245822881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2601 N ASPEN AVE STE 1011, Broken Arrow, OK 74012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 37D2329273

Caldwell Medical Group PLLC · Broken Arrow, OK
Active · expires Aug 25, 2027
CLIA Number37D2329273
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorJackie K. Hurt
Laboratory Phone(918) 994-7962
Laboratory LocationCaldwell Medical Group PLLC2601 N Aspen Ave, Ste 1011, Broken Arrow, OK 74012
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
2601 N ASPEN AVE STE 1011
BROKEN ARROW, OK 74012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caldwell Medical Group, PLLC's NPI number?

The NPI number for Caldwell Medical Group, PLLC is 1245822881. It was assigned to this organization in the NPPES registry on February 5, 2021.

Where is Caldwell Medical Group, PLLC located?

Caldwell Medical Group, PLLC is located at 2601 N Aspen Ave Ste 1011, Broken Arrow, OK 74012. The listed phone number is (918) 994-7962.

What is Caldwell Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Caldwell Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 37D2329273) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caldwell Medical Group, PLLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.