DR. CALEB R MASSEY III (NPI# 1568464642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568464642 |
| Entity Type | Individual |
| Full Name | DR. CALEB R MASSEY III |
| Credential | M.D. |
| Practice Address |
1708 Fall Hill Ave Suite 100 Fredericksburg VA 22401-3511 |
| Practice Telephone | 5403711226 |
| Mailing Telephone | 5403711226 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-11-30 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
0101031327 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | P00380300 | 01 |
| Street Address |
1708 FALL HILL AVE SUITE 100 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538692546 | Hearing Resource Center LLC | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2017-04-06 |
| 1194273938 | Nina Buckley-ess | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2016-09-21 |
| 1184172256 | Mandy Williams | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2016-09-16 |
| 1700269289 | Jacki L Delo | Nurse Practitioner | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2015-07-02 |
| 1457649527 | Kimberly A Abeyta | Audiologist | 1708 Fall Hill Ave, Fredericksburg, VA 22401-3511 | 2011-07-11 |
| 1578894655 | Durell L Whittington | Audiologist | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2010-01-29 |
| 1497918981 | Heather L Bennett | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2008-07-07 |
| 1164517314 | Ear Nose and Throat and Facial Plastic Surgery Center of Frederick | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-10-04 |
| 1477579662 | Francis Xavier Buckman | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-07-14 |
| 1548217326 | John David Lieser | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245395755 | Michael Lee Walker | Otolaryngology | 206 W Windcrest St, Fredericksburg, TX 78624-4408 | 2006-12-26 |
| 1548217326 | John David Lieser | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-05-27 |
| 1518959980 | Nariman Dash | Otolaryngology | 1708 Fall Hill Ave, Suite100, Fredericksburg, VA 22401-3511 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689115768 | Mari Miyamoto Hayashi | Otolaryngology | 8409 N Run Medical Dr, Mechanicsville, VA 23116-2309 | 2017-03-09 |
| 1811333644 | Heinz H.e. Scheidemandel | Otolaryngology | 6516 Walters Woods Dr, Falls Church, VA 22044-1425 | 2013-05-20 |
| 1871698704 | Richard Joseph Grayson Jr. | Otolaryngology | 2609 Robin Hood Rd Se, Roanoke, VA 24014-3421 | 2006-09-14 |
| 1598750499 | Danny A Neal | Otolaryngology | 333 Lucy Dr, Harrisonburg, VA 22801-8050 | 2005-09-16 |
| 1649263757 | Charles Wayne Gates | Otolaryngology | 3360 Emmaus Rd, Harrisonburg, VA 22801-2685 | 2005-08-24 |
| 1235564709 | Yu Kim Dennis Chua | Otolaryngology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2013-09-03 |
| 1700100286 | Matthew A Hubbard | Otolaryngology | 176 Valley St Nw, Abingdon, VA 24210-2859 | 2010-03-26 |
| 1831337898 | Naderi Center for Cosmetic Surgery & Skin Care, Pllc | Otolaryngology | 297 Herndon Pkwy, Suite 101, Herndon, VA 20170-4474 | 2009-01-29 |
| 1710160205 | M Karim Ali Md Facs PC | Otolaryngology | 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 | 2007-12-07 |
| 1124211487 | Ednan Mushtaq Md PC | Otolaryngology | 6845 Elm St, Suite 303, Mc Lean, VA 22101-6007 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.