JAMES E CAUTILLO (NPI# 1487150959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487150959 |
Entity Type | Individual |
Full Name | JAMES E CAUTILLO |
Credential | CRNP |
Practice Address |
1068 W Baltimore Pike Ste 202 Media PA 19063 |
Mailing Address |
1068 W Baltimore Pike Ste 202 Media PA 19063-5104 |
Practice Telephone | 4843372580 |
Mailing Telephone | 4843372580 |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP018384 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP018384 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1068 W BALTIMORE PIKE STE 202 |
City | MEDIA |
State | PA |
Zip Code | 19063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336510163 | Mackenzie Williams Houser | Nurse Practitioner | 1068 W Baltimore Pike Ste 202, Media, PA 19063 | 2015-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
Find all providers in zip 19063 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699384560 | Stephanie Lynn Bass | Nurse Practitioner | 1088 W Baltimore Pike Ste 2205, Media, PA 19063-5136 | 2020-07-27 |
1861991911 | Rosalie Stio | Nurse Practitioner | 1098 W Baltimore Pike Ste 3101, Media, PA 19063-5139 | 2018-02-05 |
1336669134 | Michelle L Mullarkey | Nurse Practitioner | 1098 W Baltimore Pike Ste 3308, Media, PA 19063-5139 | 2017-06-22 |
1710387428 | Amy Strong | Nurse Practitioner | 1295 N Providence Rd, Apt H 103, Media, PA 19063-1234 | 2014-08-29 |
1740467331 | Tracy Collins Boyle | Nurse Practitioner | 3 South Pennell Rd, Media, PA 19037 | 2008-01-25 |
1104025501 | Donna L Thompson | Nurse Practitioner | 18 Soldier Song Ln, Media, PA 19063-5223 | 2007-07-16 |
1316545353 | Rema Dicen | Nurse Practitioner | 602 E Baltimore Pike, Media, PA 19063-1735 | 2020-10-12 |
1174138325 | Rachel Elizabeth Woodruff | Nurse Practitioner | 1088 W Baltimore Pike Ste 2205, Media, PA 19063-5136 | 2020-09-14 |
1780232009 | Kira M Graziano | Nurse Practitioner | 510 E Baltimore Pike, Media, PA 19063-3836 | 2019-08-29 |
1174184147 | Ruth Kang | Nurse Practitioner | 1088 W Baltimore Pike Ste 2506, Media, PA 19063 | 2019-06-21 |
Find all providers in MEDIA |
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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.