Timothy James Caudill (NPI# 1316421662, PAC ID# 5395099410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316421662 |
| PAC ID by PECOS | 5395099410 |
| Professional Enrollment ID | I20181108000539 |
| Full Name | Timothy James Caudill |
| Organization Legal Name | THREE RIVERS MEDICAL CLINICS INC |
| Address |
40 Professional Park Dr Louisa KY 41230-9644 |
| Phone Number | 6066384656 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315845047 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180128 | THREE RIVERS MEDICAL CENTER |
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 40 Professional Park Dr, Louisa, KY 41230-9644 | 6066384656 | THREE RIVERS MEDICAL CLINICS INC |
| Organization Legal Name | THREE RIVERS MEDICAL CLINICS INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy Rivera | Psychiatry | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Amanda L Maynard | Nurse Practitioner | Three Rivers Medical Clinics Inc | 94 Boardwalk St, Suite 1, Inez, KY 41224-7003 |
| Thomas H Frazier | Gastroenterology | Three Rivers Medical Clinics Inc | 2483 Hwy 644 107, Louisa, KY 41230-9242 |
| Elizabeth A Saul-collins | Nurse Practitioner | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Brandon H Webb | Internal Medicine | Three Rivers Medical Clinics Inc | 203 S Water St, Louisa, KY 41230-1347 |
| Kurt Jaenicke | Obstetrics/gynecology | Three Rivers Medical Clinics Inc | 2673 Hwy 644, Suite 2, Louisa, KY 41230-5922 |
| Rachel S Baisden | Nurse Practitioner | Three Rivers Medical Clinics Inc | 47460 Route 52, Kermit, WV 25674-8052 |
| Timothy R Yoost | Urology | Three Rivers Medical Clinics Inc | 2483 Hwy 644 107, Louisa, KY 41230-9242 |
| Sheila Short | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2483 Hwy 644 102, Louisa, KY 41230-9242 |
| Spencer M Harris | Family Medicine | Three Rivers Medical Clinics Inc | 2483 Hwy 644 107, Louisa, KY 41230-9242 |
| Street Address |
40 PROFESSIONAL PARK DR |
| City | LOUISA |
| State | KY |
| Zip | 41230-9644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Saul-collins | Nurse Practitioner | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Marc Workman | Family Medicine | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Jill D Short | Physician Assistant | Three Rivers Medical Clinics Inc | 412 N Lock Ave, Louisa, KY 41230-1115 |
| Joseph Bowling | Optometry | Louisa Eye Care Pllc | 112 S Vinson Ave, Louisa, KY 41230-1155 |
| Elaine N Desario | Optometry | Louisa Eye Care Pllc | 112 S Vinson Ave, Louisa, KY 41230-1155 |
| Brandon H Webb | Internal Medicine | Three Rivers Medical Clinics Inc | 203 S Water St, Louisa, KY 41230-1347 |
| Kurt Jaenicke | Obstetrics/gynecology | Three Rivers Medical Clinics Inc | 2673 Hwy 644, Suite 2, Louisa, KY 41230-5922 |
| Karen Marlene Moore | Nurse Practitioner | Three Rivers Medical Clinics Inc | 2673 Hwy 644, Suite 2, Louisa, KY 41230-5922 |
| Justin Timothy Sargent | Physical Therapy | Ironton Physcial Therapy Inc | 172 Town Hill Rd, Louisa, KY 41230-6389 |
| Paul A Castle | Physical Therapy | Ironton Physical Therapy Inc | 172 Town Hill Rd, Louisa, KY 41230-6389 |
| Find all physicians in zip 41230 | |||
| City | LOUISA |
| Zip Code | 41230 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.