Active NPI
Caitlin Stauder
- Family Medicine Physician
- Norwood, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 279606
- Practice address
- 3 Edgewater Dr Ste 102
Norwood, MA 02062-4644 - Phone
- (508) 728-7668
- NPI assigned
- May 7, 2015
- Sex
- Female
- 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 | 279606 | MA | Primary |
Addresses
Primary practice location
3 Edgewater Dr Ste 102
Norwood, MA 02062-4644
Mailing address
3 Edgewater Dr Ste 102
Norwood, MA 02062-4644
Phone (508) 728-7668
Other practice location 1
499 Paris Hill Road
Paris, ME 04271-0126
Phone (207) 615-2372
Other practice location 2
4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3 Edgewater Dr
Norwood, MA 02062-4642
Phone (508) 928-7668
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Family Medicine PC | Family Medicine | Current | Accepting new patients |
Locations
100 S Shore Dr
East Haven, CT 06512
3 Edgewater Dr
Norwood, MA 02062
Phone (508) 928-7668
3 Edgewater Dr
Ste 102
Norwood, MA 02062
Phone (508) 928-7668
Interoperability endpoints
- stauder.caitlin.rootfm@direct.partners.masshiway.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norwood, MA
- NPI 1346625985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1346628690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EDGEWATER DR STE 102",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624644",
"telephone_number": "508-728-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 EDGEWATER DR STE 102",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624644",
"telephone_number": "508-728-7668"
}
],
"practiceLocations": [
{
"address_1": "499 Paris Hill Road",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "ME",
"postal_code": "042710126",
"country_code": "US",
"telephone_number": "207-615-2372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "718-960-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAUDER",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "279606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.