Provider Demographics
NPI:1447203880
Name:CAUGHEY, CURTIS L (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:L
Last Name:CAUGHEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:967 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2888
Mailing Address - Country:US
Mailing Address - Phone:419-996-5895
Mailing Address - Fax:419-996-5896
Practice Address - Street 1:967 BELLEFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2888
Practice Address - Country:US
Practice Address - Phone:419-996-5895
Practice Address - Fax:419-996-5896
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35045454C207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000315962OtherBCBS
OH000000493488OtherANTHEM/BCBS
OH0478657Medicaid
P00074258OtherRR MEDICARE
OH000000493488OtherANTHEM/BCBS
CA0809844Medicare PIN
E67991Medicare UPIN