Dr. Trevor Russell Caldwell

Anatomic Pathology & Clinical Pathology Summerlin Hospital Medical Center NPI1346579984

Summary

About

Dr. Trevor Russell Caldwell specialises in Anatomic Pathology & Clinical Pathology. He currently works at Summerlin Hospital Medical Center in Nevada and has affiliate with 3 other institutions.

Provider Details

NPI Number 1346579984
Provider Name Trevor Russell Caldwell
Credential
Specialization Anatomic Pathology & Clinical Pathology
Medical School Name University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb)
Graduation Year 2009
Gender M
Entity Type Individual
PAC ID by PECOS 2860631256
Professional Enrollment ID I20170620000217
Enumeration Date 12/10/2009
Last Update Date 07/21/2022

Contact Details

Business Practice address 7455 W WASHINGTON AVE STE 301, Las Vegas,
89128-4340 Nevada View on Google Map
Business Practice phone 877-562-5227
Business Practice fax 702-938-9954
Mailing address 11025 RCA CENTER DR STE 300, Palm Beach Gardens,
33410-4269 Florida View on Google Map
Other phone 561-383-3820
Other fax 855-369-2450
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Trevor Russell Caldwell Update NPI

Payments

Total Payment Worth

$1,008.46
from 9 payments in the last 6 years

Total Cash or Cash Equivalent

$0.00
from 0 payments in the last 6 years

Total In-kind Items & Services

$1,008.46
from 9 payments in the last 6 years

Hospital Affilitation

Summerlin Hospital Medical Center in Las Vegas

Las Vegas, Nevada

Spring Valley Hospital Medical Center

Centennial Hills Hospital Medical Center

Henderson Hospital

Education & Training

University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb)

Anatomic Pathology & Clinical Pathology, 2009

Group Affiliation

Organization Name PECOS PAC ID Members
Laboratory Medicine Consultants Ltd 4183617533 28

Public Reporting for Performance Scores

More Details

Final MIPS Score

67.75 out of 100

Score Breakdown

Quality Category Score 75
PI Category Score 0

 

IA Category Score 0
Cost Category Score 0
Total Patients: 93
Source of Scores: group
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Taxonomy
License No.
MT198717 (Pennsylvania)
Provider Taxonomy 2
Speciality
Taxonomy
License No.
ML60093443 (Washington)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1346579984
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Caldwell
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Trevor
The first name of the provider, if the provider is an individual.
Provider Credential Text M.D.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 11025 RCA CENTER DR STE 300
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Palm Beach Gardens
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Florida
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 33410-4269
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 561-383-3820
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 855-369-2450
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 7455 W WASHINGTON AVE STE 301
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Las Vegas
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name Nevada
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 89128-4340
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 877-562-5227
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 702-938-9954
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 12/10/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 07/21/2022
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 207ZP0102X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Healthcare Provider Taxonomy #1
Provider License Number 1 MT198717
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 PA
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #2 208600000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 2 A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Healthcare Provider Taxonomy #2
Provider License Number 2 ML60093443
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2 WA
Provider License Number State Code #2
Healthcare Provider Primary Taxonomy Switch 2 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.