Active NPI
David Dwight Caudill, CNP
- Family Medicine Physician
- Lima, OH
National Provider Identifier
1154858611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 020652
- Practice address
- 2338 N West St
Lima, OH 45801-2051 - Phone
- (419) 224-8000
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 020652 | OH | Primary |
Addresses
Primary practice location
2338 N West St
Lima, OH 45801-2051
Mailing address
2338 N West St
Lima, OH 45801-2051
Phone (419) 224-8000
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)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020652 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154858611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 N WEST ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458012051",
"telephone_number": "419-224-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 N WEST ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458012051",
"telephone_number": "419-224-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "DAVID",
"middle_name": "DWIGHT",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "020652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.