Cave Run Orthopedics, PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

CAVE RUN ORTHOPEDICS, PLLC

Practice address

1350 Flemingsburg Rd
Morehead, KY 40351-1810

Phone

(606) 462-8016

Fax

(606) 462-8046

NPI assigned

Apr 17, 2020

Last updated

Jun 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Edwin Crouse, MDNPI 1518131549

Title

Owner

Phone

(606) 784-7551

Specialties & licenses 4

Addresses

Other identifiers 4

Electronic endpoints 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Edwin Crouse III, MD

  • Orthopaedic Surgery Physician
  • Morehead, KY
  • NPI 1518131549
  Authorized official Same address or phone
• Jennifer L Gauze, APRN

  • Nurse Practitioner
  • Cynthiana, KY
  • NPI 1376106633
  NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1518587708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511810",
            "telephone_number": "606-462-8016",
            "fax_number": "606-462-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511810",
            "telephone_number": "606-462-8016",
            "fax_number": "606-462-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Elizaville Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flemingsburg",
            "state": "KY",
            "postal_code": "410419209",
            "country_code": "US",
            "telephone_number": "606-462-8016",
            "fax_number": "606-462-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAVE RUN ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-784-7551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "18D2186089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100670440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100670190",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100672660",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caverunortho.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1350 Flemingsburg Rd",
            "city": "Morehead",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403511810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caverunortho.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1350 Flemingsburg Rd",
            "city": "Morehead",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403511810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caverunortho.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "932 Elizaville Ave Ste 100",
            "city": "Flemingsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410419209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Caskey, RBT
• Joshua W. Cassity, APRN
• Sarah Lynn Castle, APRN, FNP-C
• Janis Lee Lydick Caston, APRN, DNP
• Shawna Caudill
• Cave Run Pharmacy Inc
• Cave Run Pharmacy, Inc
• Cave Run Surgical Specialists
• Shelby R Center, APRN
• Celina Anne Charles, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Morehead, KY
• Providers in Morehead, KY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.