Gage M Caudell (NPI# 1013188291, PAC ID# 9931271558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1013188291 |
| PAC ID by PECOS | 9931271558 |
| Professional Enrollment ID | I20080626000356 |
| Full Name | Gage M Caudell |
| Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Address |
208 N Columbus St Hicksville OH 43526-1250 |
| Phone Number | 8005665659 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7618965286 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150168 | THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR |
| 150045 | DEKALB HEALTH |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150150 | DUPONT HOSPITAL LLC |
| Address | Phone | Organization |
|---|---|---|
| 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
| 208 N Columbus St, Hicksville, OH 43526-1250 | 8005665659 | FORT WAYNE ORTHOPAEDICS, LLC |
| Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip C Penny | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 605 N Walnut St, North Manchester, IN 46962-1857 |
| Abigail Vanlaningham | Physician Assistant | Fort Wayne Orthopaedics, LLC | 3270 Intertech Dr, Angola, IN 46703-7325 |
| Matthew A Bohren | Physician Assistant | Fort Wayne Orthopaedics, LLC | 217 W Wayne St, Fort Wayne, IN 46802-3605 |
| Hope E Royce | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Brian T Laursen | Physician Assistant | Fort Wayne Orthopaedics, LLC | 701 Orthopaedic Dr, Suite 100, Warsaw, IN 46582-3905 |
| Jonathan D Detommaso | Podiatry | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Ian R Nelson | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 |
| John Paul Magno Manalo | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Alex Villavicencio | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Carolyn Hanrahan | Physician Assistant | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Street Address |
208 N COLUMBUS ST |
| City | HICKSVILLE |
| State | OH |
| Zip | 43526-1250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan D Bagley | Chiropractic | 102 Old Mill Rd, Hicksville, OH 43526-1096 | |
| Andrew W Oshaughnessy | Nephrology | Nephrology Associates of Northern Indiana PC | 208 Columbus St N, Hicksville, OH 43526-1250 |
| Rowland J Rivero | Hospitalist | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Jessica L Slattery | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Todd M Wiley | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Vasavi K Reddy | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Cory T Hammond | Physician Assistant | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Kathryn A Khandaker | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Matthew C Grothaus | Orthopedic Surgery | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Laverne L Miller | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Find all physicians in zip 43526 | |||
| City | HICKSVILLE |
| Zip Code | 43526 |
| Specialty | PODIATRY |
| City + Specialty | HICKSVILLE + PODIATRY |
Please comment or provide details below to improve the information on Gage M Caudell.
| 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.