Caitlin Elissa Seidler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-08660 Issued in NC

Practice address

910 N Madison Blvd Ste B
Roxboro, NC 27573

Phone

(336) 592-2230

NPI assigned

Oct 21, 2018

Last updated

Jan 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlin Elissa Ross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• MCH Professional Care

  dba MCH ProCare

  • Multi-Specialty Clinic/Center
  • Odessa, TX
  • NPI 1649391269
  NPD (past)

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1043786783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N MADISON BLVD STE B",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N MADISON BLVD STE B",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "27573",
            "telephone_number": "336-592-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDLER",
        "first_name": "CAITLIN",
        "middle_name": "ELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "ROSS",
            "middle_name": "ELISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie L Saunders, DC
• Crissy Sue Schmieder, LCSW A, LCAS
• Sharese Owens Scott
• Seekingsolace, LLC (The WFN Center)
• Destiny Lashay Seetram
• Martin Andrew Senicki, D.O.
• Christy Alexis Sergeant, ACCNS-AG
• Elizabeth Jane Sessions
• Shepherd Shield Services
• James Winn Short, M.D.

• Medical Physician Assistant in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.