1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Physician Assistant
  6. NPI Profile

CALDWELL MEDICAL GROUP OF NORTH TULSA LLC
NPI 1790155562
Physician Assistant - Medical in Tulsa, OK

Active since October 05, 2015
8014 S 101ST EAST AVE, TULSA, OK 74133(918) 949-9910 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caldwell Medical Group Of North Tulsa Llc NPPES

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

CALDWELL MEDICAL GROUP OF NORTH TULSA LLC (NPI 1790155562) is a healthcare organization registered as a medical in Tulsa, Oklahoma and active in the NPI registry since October 2015. The organization lists Kammie Caldwell, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1790155562
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameCALDWELL MEDICAL GROUP OF NORTH TULSA LLC
Location Address8014 S 101ST EAST AVETulsa, OK 74133-4579
Mailing Address8014 S 101st East AveTulsa, OK 74133-4579 · (918) 949-9910
Phone(918) 949-9910
Organization SubpartNo
Authorized OfficialKammie CaldwellSole Member · (918) 485-0291
Enumeration DateOctober 5, 2015
Last NPPES UpdateNovember 5, 2015
✔ NPI 1790155562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
8014 S 101ST EAST AVE, Tulsa, OK 74133
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Of North Tulsa LLC's NPI number?

The NPI number for Caldwell Medical Group Of North Tulsa LLC is 1790155562. It was assigned to this organization in the NPPES registry on October 5, 2015.

Where is Caldwell Medical Group Of North Tulsa LLC located?

Caldwell Medical Group Of North Tulsa LLC is located at 8014 S 101st East Ave, Tulsa, OK 74133. The listed phone number is (918) 949-9910.

What is Caldwell Medical Group Of North Tulsa LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Caldwell Medical Group Of North Tulsa LLC was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.