Provider Demographics
NPI:1407822257
Name:CALCATERA, JOHN P (DPM)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:CALCATERA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 MONTGOMERY HWY
Mailing Address - Street 2:STE100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2843
Mailing Address - Country:US
Mailing Address - Phone:205-822-2116
Mailing Address - Fax:205-979-9422
Practice Address - Street 1:1009 MONTGOMERY HWY
Practice Address - Street 2:STE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-2843
Practice Address - Country:US
Practice Address - Phone:205-822-2116
Practice Address - Fax:205-979-9422
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL112213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6085850001Medicare NSC
T25425Medicare UPIN