JEREMY DAVID CAUDILL (NPI# 1205189404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189404 |
| Entity Type | Individual |
| Full Name | JEREMY DAVID CAUDILL |
| Credential | PA-C |
| Practice Address |
333 S 3rd St Ste B Danville KY 40422-2016 |
| Practice Telephone | 8592368730 |
| Practice Fax Number | 8592364468 |
| Mailing Telephone | 8592368730 |
| Mailing Fax Number | 8592364468 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1779 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265650295 | Jeremy Alan Caudill | Surgery | 2460 Old Moultrie Rd Ste 3, Saint Augustine, FL 32086-4198 | 2007-04-23 |
| Street Address |
333 S 3RD ST STE B |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718041 | Joseph L Lukins | Orthopaedic Surgery | 333 S 3rd St, Ste B, Danville, KY 40422-2016 | 2005-05-23 |
| 1376051318 | Jordyn Renee Bocook | Nurse Practitioner | 333 S 3rd St, Danville, KY 40422-2016 | 2018-01-11 |
| 1821464561 | Melinda Lyons | Nurse Practitioner | 333 S 3rd St, Danville, KY 40422-2016 | 2015-08-17 |
| 1124346002 | Donald Jeff Covell | Orthopaedic Surgery | 333 S 3rd St, Suite B, Danville, KY 40422-2016 | 2010-05-17 |
| 1336398734 | Charles Christian Key | Orthopaedic Surgery | 333 S 3rd St, Suite B, Danville, KY 40422-2016 | 2008-09-10 |
| 1891975363 | Jennifer Ellen Stivers | Obstetrics & Gynecology | 333 S 3rd St, Suite A, Danville, KY 40422-2016 | 2007-11-13 |
| 1023228475 | Anne E Turcea | Obstetrics & Gynecology | 333 S 3rd St, Suite A, Danville, KY 40422-2016 | 2007-05-23 |
| 1336121672 | Gary R Ahnquist | Obstetrics & Gynecology | 333 S 3rd St, Suite A, Danville, KY 40422-2016 | 2005-11-14 |
| 1316929664 | Dianna Purdom Barker | Nurse Practitioner | 333 S 3rd St, Suite A, Danville, KY 40422-2016 | 2005-11-14 |
| 1134101488 | Michael W Glover | Obstetrics & Gynecology | 333 S 3rd St, Suite A, Danville, KY 40422-2016 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747959 | Michelle Turner | Physician Assistant | 1095 N County Road 300 E, Danville, IN 46122-8651 | 2020-07-08 |
| 1427681535 | Ann Humphrey | Physician Assistant | 30 Windward Dr, Danville, CA 94526-2341 | 2020-02-17 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1164086948 | Matthew Hartman | Physician Assistant | 215 Kaitlyn Ln, Danville, CA 94506-4717 | 2019-04-26 |
| 1902370844 | Lindsay Simmons | Physician Assistant | 167 Maddox Rd, Danville, AL 35619-6535 | 2019-01-14 |
| 1174007165 | Caroline Federighi | Physician Assistant | 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 | 2018-09-17 |
| 1487136446 | Mayura Raghavan | Physician Assistant | 221 Marigold St, Danville, CA 94506-4760 | 2018-09-05 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1154762748 | Justin B Cecil | Physician Assistant | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2013-07-11 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on JEREMY DAVID CAUDILL.
| 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.