JENNIFER TREPTE CAUDILL (NPI# 1518175116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518175116 |
| Entity Type | Individual |
| Full Name | JENNIFER TREPTE CAUDILL |
| Credential | M.D. |
| Practice Address |
5885 S. Main St. Suite 1 Clarkston MI 48346 |
| Practice Telephone | 2486239700 |
| Practice Fax Number | 2486238996 |
| Mailing Telephone | 2486239700 |
| Mailing Fax Number | 2486238996 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301086079 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925879 | Jennifer Anne Caudill | Massage Therapist | 440 Main Street Lot 10, Salt Lick, KY 40371-0119 | 2010-06-25 |
| 1629543830 | Jennifer R Caudill | Occupational Therapist | 3817 Colonel Glenn Hwy, Beavercreek, OH 45324-2031 | 2018-10-04 |
| 1962879577 | Jennifer Caudill | Physician Assistant | 1616 Callaghan Rd, San Antonio, TX 78228-4315 | 2015-08-31 |
| 1295112837 | Jennifer Caudill | Marriage & Family Therapist | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2015-05-04 |
| Street Address |
5885 S. MAIN ST. SUITE 1 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285752998 | Brett Barry Bender | Dermatology | 5701 Bow Pointe Dr Ste 215, Clarkston, MI 48346-5400 | 2007-03-27 |
| 1093700247 | Susan Hanson Klemmer | Dermatology | 6080 Dixie Hwy, Suite B, Clarkston, MI 48346-3493 | 2005-09-14 |
| 1780027961 | Michelle Dawson | Dermatology | 5701 Bow Pointe Dr Ste 215, Clarkston, MI 48346-5400 | 2013-04-08 |
| 1477841245 | Jennifer Caudill, Md Pllc | Dermatology | 6080 Dixie Hwy, Suite B, Clarkston, MI 48346-3493 | 2011-07-14 |
| 1083916407 | Susan H Klemmer Md PC | Dermatology | 6080 Dixie Hwy, Suite B, Clarkston, MI 48346-3493 | 2010-11-18 |
| 1093977985 | Brian A Kopitzki | Dermatology | 5701 Bow Pointe Dr Ste 215, Clarkston, MI 48346-5400 | 2008-07-01 |
| 1053512111 | Richard S Schwartz M D Dermatology P C | Dermatology | 6770 Dixie Hwy, Suite 304, Clarkston, MI 48346-2087 | 2007-05-29 |
| 1003943408 | Clarkston Dermatology & Vein Center Pllc | Dermatology | 5701 Bow Pointe Dr, Suite 215, Clarkston, MI 48346-3198 | 2007-02-27 |
| 1528152196 | Wendy L Mcfalda | Dermatology | 5701 Bow Pointe Dr, Suite 215, Clarkston, MI 48346-3198 | 2006-10-03 |
| 1578526703 | Richard Saul Schwartz | Dermatology | 6770 Dixie Hwy, Suite 304, Clarkston, MI 48346-2087 | 2006-04-10 |
| Find all providers in CLARKSTON | ||||
Please comment or provide details below to improve the information on JENNIFER TREPTE CAUDILL.
| 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.