Provider Demographics
NPI:1780016493
Name:CALDERWOOD, DEBORAH K (PA-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:CALDERWOOD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AKRON GENERAL AVE. BUILDING 301
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307
Mailing Address - Country:US
Mailing Address - Phone:330-344-6047
Mailing Address - Fax:330-535-7219
Practice Address - Street 1:1 AKRON GENERAL AVE. BUILDING 301
Practice Address - Street 2:FLOOR 2
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307
Practice Address - Country:US
Practice Address - Phone:330-344-6047
Practice Address - Fax:330-535-7219
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50-003780363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant