Healthcare Provider Details

I. General information

NPI: 1962600890
Provider Name (Legal Business Name): MATTHEW A CALDWELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 SW MULVANE ST FL 1
TOPEKA KS
66606-1764
US

IV. Provider business mailing address

823 SW MULVANE ST STE 210
TOPEKA KS
66606-1679
US

V. Phone/Fax

Practice location:
  • Phone: 785-270-0070
  • Fax: 785-270-0071
Mailing address:
  • Phone: 785-235-3451
  • Fax: 785-235-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number04-35610
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9406834
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number04-35610
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: