Provider Demographics
NPI:1538126842
Name:CAINE, CAROLINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:CAINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6862 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3897
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6862 ELM ST
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3897
Practice Address - Country:US
Practice Address - Phone:703-992-0649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052741207R00000X
VA0101055023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC25970022OtherBCBSNCA
MD07172000000OtherPREFERRED HEALTH
MD5174574OtherAETNA
MD521973185OtherPHCS
MD521973185OtherUNITED HEALTHCARE
MD54780005OtherBCBS OF MARYLAND
MD521973185OtherCOVENTRY HLTH OF DELAWARE
MD255578OtherMAMSI/ALLIANCE
MD521973185OtherFIDELITY PMG
MD0403420OtherEVERCARE
MD1010282OtherAETNA US HEALTHCARE
MD0402016OtherUNTD HLTHC AMERI CHOICE
MD498189OtherNCPPO
MD9898OtherKAISER
MD527405200Medicaid
MD2015715010OtherCIGNA
MD9898OtherKAISER
DC003489M92Medicare PIN
MD454LM991Medicare PIN
MD54780005OtherBCBS OF MARYLAND
MD5174574OtherAETNA
DC142604ZBZUMedicare PIN