ROBERT JOSEPH CAUDLE (NPI# 1073566766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073566766 |
| Entity Type | Individual |
| Full Name | ROBERT JOSEPH CAUDLE |
| Credential | MD |
| Practice Address |
3633 Harden Rd Suite 102 Raleigh NC 27607-3369 |
| Practice Telephone | 9197888797 |
| Practice Fax Number | 9197888798 |
| Mailing Telephone | 9197888797 |
| Mailing Fax Number | 9197888798 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 32350 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA | AC2154223 | 01 |
| NC | 89135A2 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639328669 | Robert Joshua Caudle | General Acute Care Hospital | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-09-15 |
| Street Address |
3633 HARDEN RD SUITE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577613 | Richard Edward Carlino | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| 1629395561 | Sanjay Venkat Daluvoy | Surgery | 3633 Harden Rd, #200, Raleigh, NC 27607-3369 | 2010-05-03 |
| 1679730907 | Matthew West Blanton | Plastic Surgery | 3633 Harden Rd, Suite 200, Raleigh, NC 27607-3369 | 2008-05-22 |
| 1760652374 | Brian S. Wood | Physician Assistant | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2008-03-11 |
| 1013067784 | Orthopaedic and Sports Medicine Associates, Pllc | Specialist | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2007-01-12 |
| 1871695486 | Sheela John Thomas | Nurse Practitioner | 3633 Harden Rd, Suite 100, Raleigh, NC 27607-3369 | 2006-09-03 |
| 1982628921 | Edward A Hedrick | Physician Assistant | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2006-07-26 |
| 1760482210 | Specialists In Plastic Surgery Pa | Specialist | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-07-27 |
| 1588668529 | Roger Bivins Russell | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| 1396749339 | Donald L Oschwald Jr. | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1669797353 | Tyler Steven Watters | Orthopaedic Surgery | 3001 Edwards Mill Road, Suite 200, Raleigh, NC 27612-5243 | 2010-04-06 |
| 1881740405 | Andre Grant | Orthopaedic Surgery | 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609 | 2007-01-26 |
| 1629127634 | Robert Esposito | Orthopaedic Surgery | 5620 Six Forks Rd Ste 104, Raleigh, NC 27609-8619 | 2007-01-09 |
| 1558313478 | Raleigh Hand To Shoulder Center Pa | Orthopaedic Surgery | 3701 Wake Forest Rd Ste 3100, Raleigh, NC 27609-6832 | 2006-05-17 |
| 1477523876 | Lloyd A Hey | Orthopaedic Surgery | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2006-01-26 |
| 1417927435 | David Atwell Rendleman IIi | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2006-01-23 |
| 1487647632 | Alfonza Teel | Orthopaedic Surgery | 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612-8105 | 2005-08-23 |
| 1467455832 | Jon Kolkin | Orthopaedic Surgery | 3404 Wake Forest Rd, Ste 303, Raleigh, NC 27609-7341 | 2005-05-31 |
| 1003819434 | James R Post | Orthopaedic Surgery | 3701 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6832 | 2005-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.