NPIMap

Individual provider Active NPI

David S Caughell, MD

  • General Practice Physician
  • Nowata, OK
National Provider Identifier
1831114164
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OK15765 Issued in OK
Practice address
712 E Osage Ave
Nowata, OK 74048-3638
Phone
(918) 273-0140
Fax
(918) 273-0147
NPI assigned
Jul 13, 2006
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OK15765 OK Primary

Addresses

Primary practice location

712 E Osage Ave
Nowata, OK 74048-3638

Mailing address

712 E Osage Ave
Nowata, OK 74048-3638
Phone (918) 273-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000380 OK Practitioner - Family Practice 9638206527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oral Roberts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

712 E Osage Ave
Nowata, OK 74048-3638
Phone (918) 273-0140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OK15765OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Medical, Inc CurrentSince Jul 1, 1986 Accepting new patients
Green Country Medical, Inc Past Accepting new patients
Hays House, LLC Past Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Green Country Medical, Inc. Past Accepting new patients
Osage Nursing Center, LLC Past Accepting new patients
Green Country Medical, Inc. Past Accepting new patients
Green Country Medical, Inc. Past Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients
Green Country Medical, Inc. Past Accepting new patients
Green Country Medical, Inc Past Accepting new patients

Locations

712 E Osage Ave
Nowata, OK 74048
Phone (918) 273-0140

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Green Country Medical ClinicSouth Coffeyville, OK, CCN 373860 Rural health clinic W-2 Managing Employee
Other		 Feb 16, 2001
Feb 16, 2001
Nowata County Rural Health ClinicNowata, OK, CCN 373830 Rural health clinic W-2 Managing Employee
Other		 Feb 16, 2001
Feb 16, 2001

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1831114164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E OSAGE AVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483638",
            "telephone_number": "918-273-0140",
            "fax_number": "918-273-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E OSAGE AVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740483638",
            "telephone_number": "918-273-0140",
            "fax_number": "918-273-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHELL",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "OK15765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nowata, OK

Sources for this page

Verify at the official NPI Registry.