Individual provider Active NPI

Ricardo Federico Causo, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1023052032
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
19907 Issued in TN
Practice address
6025 Lee Hwy
Ste. 447
Chattanooga, TN 37421-3099
Phone
(423) 490-1547
Fax
(423) 490-1197
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD19907 TN
Developmental - Behavioral Pediatrics Physician 2080P0006X 19907 TN Primary

Addresses

Primary practice location

6025 Lee Hwy
Ste. 447
Chattanooga, TN 37421-3099

Mailing address

6025 Lee Hwy
Ste. 447
Chattanooga, TN 37421-3099
Phone (423) 490-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19907TNMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1023052032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY",
            "address_2": "STE. 447",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213099",
            "telephone_number": "423-490-1547",
            "fax_number": "423-490-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY",
            "address_2": "STE. 447",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213099",
            "telephone_number": "423-490-1547",
            "fax_number": "423-490-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSO",
        "first_name": "RICARDO",
        "middle_name": "FEDERICO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD19907",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TN",
            "license": "19907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.