Gregory T Caudill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10001883 Issued in WA

Practice address

122 3Rd St NE
Auburn, WA 98002-4098

Phone

(253) 833-7750

Fax

(253) 833-7469

NPI assigned

Jul 21, 2005

Last updated

Feb 14, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cascade Surgery Associates, PLLC

  dba Cascade Orthopaedics

  • Specialist
  • Bonney Lake, WA
  • NPI 1558327601
  NPD
• Cascade Surgery Associates, PLLC

  dba Cascade Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn, WA
  • NPI 1811953193
  NPD
• Lawrence W Snow, MD Inc.PS

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1487849121
  NPD (past)
• SMC Day Surgery

  • Ambulatory Surgical Clinic/Center
  • Renton, WA
  • NPI 1033117270
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1831199777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024098",
            "telephone_number": "253-833-7750",
            "fax_number": "253-887-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024098",
            "telephone_number": "253-833-7750",
            "fax_number": "253-833-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "130067",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bev Castillo, NMD, MSTOM, LAC
• Zoe Castorini
• Sarah J Cathcart, LMP
• Shana Margaret Cathey, LICSW
• Shannon Rae Caton, EP, PTA
• Lisa Marie Caughron, LMFTA
• Kenesha Causey
• Amelie Cenci, LPN
• Susan Centeno
• Ana Dominique Cerbito, RN

• Physician Assistant in Auburn, WA
• Providers in Auburn, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.