SUSAN CAUDLE (NPI# 1760898621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760898621 |
| Entity Type | Individual |
| Full Name | SUSAN CAUDLE |
| Credential | PA-C |
| Practice Address |
2750 Laurel St Ste 305 Columbia SC 29204-2025 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 8032545140 |
| Practice Fax Number | 8037791279 |
| Mailing Telephone | 6159207878 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 335 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3047PA | 05 |
| Street Address |
2750 LAUREL ST STE 305 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255301768 | Robert P Zurcher | Specialist | 2750 Laurel St Ste 305, Columbia, SC 29204-2025 | 2006-01-25 |
| 1265402762 | John P Sutton IIi | Specialist | 2750 Laurel St Ste 305, Columbia, SC 29204-2025 | 2006-01-25 |
| 1891765392 | Edward M Leppard | Specialist | 2750 Laurel St Ste 305, Columbia, SC 29204-2025 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1770073587 | Ashton Marie Roberts | Physician Assistant | 1 Hospital Dr # Dc077.00, Columbia, MO 65212-1000 | 2018-05-16 |
| 1780814251 | Jorge E Parra | Physician Assistant | 7253 Procopio Cir, Columbia, MD 21046-1645 | 2009-07-19 |
| 1760584981 | Coleman S Fravel | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2006-09-01 |
| 1518935543 | Edwin Lionel Schmidt Jr. | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-08 |
| 1659360691 | Christina S Harman | Physician Assistant | 2 Office Park Ct Ste 103, Columbia, SC 29223 | 2005-10-20 |
| 1528666328 | Dustin Lee Dunn | Physician Assistant | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-10-14 |
| 1134767320 | Emily Christine Beck | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2019-12-18 |
| 1518522077 | Sarah Partin | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-05-09 |
| 1629436050 | Jessica F Bailey | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2016-01-30 |
| Find all providers in COLUMBIA | ||||
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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.