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

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

Practice roles

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

• MCH Professional Care

  • 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
• 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.