David Whitney Caulkins, M.D.

Individual provider Active NPI Surgery Physician · Fishersville, VA

NPI 1487766002 · NPPES record last updated Jan 11, 2012

Key facts

NPI
1487766002
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
0101037984 (VA)
Practice address
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone
(540) 245-7230
Fax
(540) 245-7235
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Surgery Inc Surgery Past
since Aug 15, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101037984 VA Yes

Addresses

Primary practice location

78 Medical Center Dr
Fishersville, VA 22939-2332

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 245-7230

Other identifiers

IdentifierTypeStateIssuer
7304889MedicaidVA

Other providers in Fishersville, VA

All providers in Fishersville, VA · Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.