David S Caughell, MD
Individual provider Active NPI General Practice Physician · Nowata, OK
NPI 1831114164 · NPPES record last updated Nov 7, 2017
Key facts
- NPI
- 1831114164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- OK15765 (OK)
- Practice address
- 712 E Osage Ave
Nowata, OK 74048-3638 - Phone
- (918) 273-0140
- Fax
- (918) 273-0147
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- 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
- Amedisys Home Health
- Ascension St John Nowata
- Ascension St John Jane Phillips
- Coffeyville Regional Medical Center, Inc
- Saint Francis Hospital Vinita, Inc
- Ascension St John Medical Center
- Osage Nursing Home, LLC
- Ascension St John Nowata
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Green Country Medical Clinic |
Rural health clinic | W-2 Managing Employee Other |
Feb 16, 2001 Feb 16, 2001 |
| Nowata County Rural Health Clinic |
Rural health clinic | W-2 Managing Employee Other |
Feb 16, 2001 Feb 16, 2001 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101227000380 | OK | Practitioner - Family Practice | 9638206527 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15765 | OK | MD | Pharmacy Technician |
| OK15765 | OK | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Country Medical, Inc | Current |
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 Memorial Medical Center, Inc. | Past | Accepting new patients | |
| Green Country Medical, Inc. | Past | Accepting new patients | |
| Hays House, 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 |
Locations
712 E Osage Ave
Nowata, OK 74048
Phone (918) 273-0140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OK15765 | OK | Yes |
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
Other providers in Nowata, OK
- Kathy Ann Bussey
- Ashley Butler
- Terrie Callison
- Debbie Campos
- Kara Lynn Cantrell
- William James Caulfield III
- Cherokee Nation
- Cherokee Nation
- City of Nowata Medical Trust Authority
- Josiah Rowley Clark
All providers in Nowata, OK · General Practice Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.