Jude T Cauwenbergh, DO

Primary specialty

SpecialistTaxonomy code 174400000X

License

34006238 Issued in OH

Practice address

2422 Lake Ave
Ashtabula, OH 44004-4985

Phone

(440) 992-4422

Fax

(440) 997-6507

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcauwenbergh37117@ehrdirect.uhhospitals.org
• Direct secure messaging: jcauwenbergh164529@direct.ccf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ashtabula County Medical Center

  • Specialist
  • Ashtabula, OH
  • NPI 1942247143
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Ashtabula County Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1831157841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-992-4422",
            "fax_number": "440-997-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-992-4422",
            "fax_number": "440-997-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUWENBERGH",
        "first_name": "JUDE",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "34006238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072644",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Casselberry, MD
• Joanna Castrilla-Cole, LCSW
• Yadira Castrillon
• Catholic Charities of Ashtabula County
• Kylie Coleen Caudill
• CD Ohio Derrick Kruger DDS, Inc.
• Lynnette Ann Cech
• Kelvin Arlson Cenac, MBBS
• Center for Holistic Health Inc
• Ashley Chapman

• Specialist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.