JEREMY CAUDILL DO (NPI# 1437684032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437684032 |
| Entity Type | Organization |
| Organization Name | JEREMY CAUDILL DO |
| Practice Address |
2460 Old Moultrie Rd Ste 3 St Augustine FL 32086-4198 |
| Practice Telephone | 9047976627 |
| Practice Fax Number | 8886409997 |
| Mailing Telephone | 9047976627 |
| Mailing Fax Number | 8886409997 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-06-01 |
| Authorized Official Name | DR. JEREMY ALAN CAUDILL (PRESIDENT) |
| Authorized Official Telephone | 9047976627 |
| Authorized Official Credential | D.O., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OS10861 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | OS10861 | 01 |
| Street Address |
2460 OLD MOULTRIE RD STE 3 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-4198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361943 | Advanced Endovascular Institute | Internal Medicine | 2460 Old Moultrie Rd Ste 3, St Augustine, FL 32086-4198 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053610923 | Byron Layne Stapleton | Surgery | 300 Health Park Blvd Ste 5002, St Augustine, FL 32086 | 2011-03-17 |
| 1952364713 | John S Koppman | Surgery | 201 Health Park Blvd, Suite 103, St Augustine, FL 32086-5796 | 2006-04-11 |
| 1508830480 | George Edward Sadowski | Surgery | 2460 Old Moultrie Rd, St Augustine, FL 32086-4197 | 2006-02-15 |
| 1033763487 | Flagler Professional Health Care Services Inc. | Surgery | 300 Health Park Blvd Ste 5002, St Augustine, FL 32086-3705 | 2019-07-24 |
| 1598192890 | John S. Koppman Md Pl | Surgery | 201 Health Park Blvd, Ste 103, St Augustine, FL 32086-5796 | 2013-10-01 |
| 1417103045 | Leopoldo B Gonzalez Md Pa | Surgery | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2008-08-14 |
| 1912052796 | Luiz Carlos Kuntz | Surgery | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2007-01-24 |
| 1558460667 | Ramanujam S Eyyunni | Surgery | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2006-09-22 |
| 1417054826 | Surgical Associates of North Florida LLC | Surgery | 2460 Old Moultrie Road, Suite 2, St Augustine, FL 32086-4198 | 2006-09-20 |
| 1043325848 | Michael Chang-chi Hsu | Surgery | 201 Health Park Blvd, Ste 107, St Augustine, FL 32086-5796 | 2006-08-20 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on JEREMY CAUDILL DO.
| 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.