DR. LEROY CAUDILL (NPI# 1912977828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912977828 |
| Entity Type | Individual |
| Full Name | DR. LEROY CAUDILL |
| Credential | DO |
| Practice Address |
459 Locust Ave Mb 26 Charlottesville VA 22902-4808 |
| Mailing Address |
Po Box 11647 Daytona Beach FL 32120-1647 |
| Practice Telephone | 4349827150 |
| Practice Fax Number | 4349827147 |
| Mailing Telephone | 3862747800 |
| Mailing Fax Number | 3862747801 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01022036975 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010134064 | 05 | |
| VA | SOUTHERN HEALTH | 165934 | 01 |
| VA | ANTHEM SVC/HEALTHKEEPERS | 166054 | 01 |
| VA | 50101 | 05 | |
| VA | COMMUNITY HEALTH | 50101 | 01 |
| Street Address |
459 LOCUST AVE MB 26 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397745 | Hematology Oncology Patient Enterprises P C | Internal Medicine | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2005-12-15 |
| 1548403835 | Brian A Whittaker | Emergency Medicine | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2009-04-16 |
| 1841451879 | Anil Shukla | Emergency Medicine | 459 Locust Ave, Charlottesville, VA 22902 | 2008-06-23 |
| 1821205196 | Benjamin J Lehman | Emergency Medicine | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2007-05-17 |
| 1104047307 | John S Tiedeman | Anesthesiology | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2007-05-02 |
| 1679682223 | Andreea Simona Xavier | Internal Medicine | 459 Locust Ave, Mb 36, Charlottesville, VA 22902-4808 | 2006-08-29 |
| 1386757755 | Geogre Leisure | Anesthesiology | 459 Locust Ave, Martha Jefferson Hospital, Charlottesville, VA 22902 | 2006-08-17 |
| 1629022652 | Piedmont Emergency Consultants, Plc | Emergency Medicine | 459 Locust Ave, Mb 26, Charlottesville, VA 22902-4808 | 2006-05-22 |
| 1609829696 | Jefferson Cardiovascular Associates | Internal Medicine | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2006-05-18 |
| 1447220991 | William John Snuffin Jr. | Emergency Medicine | 459 Locust Ave, Mb 26, Charlottesville, VA 22902-4808 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629369715 | Adriana Goldberg | Emergency Medicine | 7 Valley Cir, B, Charlottesville, VA 22903-3241 | 2011-04-25 |
| 1649414798 | Peter Whitney-cashio | Emergency Medicine | 6300 La Calma Drive, Suite 200, Charlottesville, TX 78752 | 2009-04-20 |
| 1366587628 | Theresa A. Schlager | Emergency Medicine | Uva Hospital Emergency Dept, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-02-21 |
| 1578606398 | Marcus L. Martin | Emergency Medicine | Emergency Dept Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-02-14 |
| 1356963466 | Steven Garbin | Emergency Medicine | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-05-12 |
| 1033648787 | Avery Michienzi | Emergency Medicine | 1215 Lee St, Charlottesville, VA 22908-0816 | 2017-06-07 |
| 1386170405 | Brendan Reiser | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-05-10 |
| 1750813390 | Jonathan Greer | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-04-02 |
| 1063944106 | Daniel Rilett Hawkins | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-03-29 |
| 1063944395 | Daniel Stanley | Emergency Medicine | 1215 Lee St, Box 800699, Charlottesville, VA 22908-0816 | 2017-03-27 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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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.