Organization Active NPI

Cautilli Orthopaedic Surgical Specialists, PC

  • Orthopaedic Surgery Physician
  • Yardley, PA
National Provider Identifier
1821056813
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CAUTILLI ORTHOPAEDIC SURGICAL SPECIALISTS, PC
Practice address
115 Floral Vale Blvd
Suite C
Yardley, PA 19067-5522
Phone
(215) 504-6101
Fax
(215) 504-1910
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
C Ellen McWilliams
Title
Administrator
Phone
(215) 504-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

115 Floral Vale Blvd
Suite C
Yardley, PA 19067-5522

Mailing address

115 Floral Vale Blvd
Suite C
Yardley, PA 19067-5522
Phone (215) 504-6101

Other identifiers 7

IdentifierTypeStateIssuer
0019413930001MedicaidPA
2981909OtherAETNA
1421680OtherPERSONAL CHOICE NUMBERS
1421680OtherBLUE CHOICE
0019413930002MedicaidPA
2110238000OtherKEYSTONE HEALTHPLAN EAST
CA1421680OtherPA BLUE SHIELD GROUP

National Provider Directory

National Provider Directory

Locations

1205 Langhorne Newtown Rd
Ste 404
Langhorne, PA 19047

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1821056813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FLORAL VALE BLVD",
            "address_2": "SUITE C",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675522",
            "telephone_number": "215-504-6101",
            "fax_number": "215-504-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FLORAL VALE BLVD",
            "address_2": "SUITE C",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675522",
            "telephone_number": "215-504-6101",
            "fax_number": "215-504-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUTILLI ORTHOPAEDIC SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-504-6101"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019413930001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2981909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE NUMBERS",
            "identifier": "1421680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "1421680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019413930002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN EAST",
            "identifier": "2110238000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD GROUP",
            "identifier": "CA1421680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.