Active NPI
Robert Joshua Caudle, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 193112
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 713-2755
- Fax
- (336) 713-0660
- NPI assigned
- Sep 15, 2008
- Last updated
- Mar 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | CCNA 081859 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 193112 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 713-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCNA 081859 | NC | MD | Critical Access Hospital |
| 193112 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
dba IMH Professional CRNA
- General Acute Care Hospital
- Statesville, NC
- NPI 1548230204
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Registered Nurse
- Hickory, NC
- NPI 1598863433
-
dba Iredell Davis Behavioral Health Hospital
- Psychiatric Hospital
- Statesville, NC
- NPI 1417783705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1639328669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-2755",
"fax_number": "336-713-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-2755",
"fax_number": "336-713-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDLE",
"first_name": "ROBERT",
"middle_name": "JOSHUA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NC",
"license": "CCNA 081859",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "193112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.