Individual provider Active NPI

Philip David Caron, DO

  • Obstetrics & Gynecology Physician
  • Henderson, KY
National Provider Identifier
1003803040
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03614 Issued in KY
Practice address
736 N Elm St
Henderson, KY 42420-2938
Phone
(270) 827-4000
Fax
(270) 827-5325
NPI assigned
Oct 4, 2005
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 03614 KY Primary

Addresses

Primary practice location

736 N Elm St
Henderson, KY 42420-2938

Mailing address

PO Box 1079
Henderson, KY 42419-1079
Phone (270) 827-0353

Other identifiers 1

IdentifierTypeStateIssuer
PA7956MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philip.caron@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120125000114 SC Practitioner - Obstetrics/Gynecology 7810088002 Reassigns benefits to 4 organizations
I20210331000168 NC Practitioner - Obstetrics/Gynecology 7810088002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg South Carolina PCGroup PAC ID 7012182504, 26 clinicians
Obhg North Carolina PCGroup PAC ID 3577721034, 21 clinicians

Practice addresses (Care Compare)

1330 Taylor St
Columbia, SC 29201-2915
Phone (864) 908-3530

2525 Court Dr
Gastonia, NC 28054-2140
Phone (864) 908-3530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon CurrentSince Oct 30, 2020 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Feb 24, 2021 Accepting new patients
St Francis Physician Services Inc Obstetrics & Gynecology CurrentSince Jul 3, 2019 Accepting new patients
McLeod Health Clarendon CurrentSince Oct 30, 2020 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
McLeod Physician Associates II Obstetrics & Gynecology CurrentSince Aug 21, 2020 Accepting new patients
St Francis Physician Services Inc CurrentSince Jul 3, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 21, 2020 Accepting new patients
Oconee OB-GYN Associates, P.a. Obstetrics & Gynecology PastSince Jul 2, 2007 Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

706 N 8th Ave
Dillon, SC 29536
Phone (843) 777-5605

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 435-5222

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: philip.caron@mpaii.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1003803040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1079",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191079",
            "telephone_number": "270-827-0353",
            "fax_number": "270-827-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202938",
            "telephone_number": "270-827-4000",
            "fax_number": "270-827-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "03614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA7956",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.caron@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "706 N 8th Ave",
            "city": "Dillon",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295362540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.