Gage Manning Caudell
Foot & Ankle Surgery
7601 W Jefferson Blvd
Fort Wayne
, Indiana 46804-4133
Gage Manning Caudell
Foot & Ankle Surgery
7601 W Jefferson Blvd
Fort Wayne
, Indiana 46804-4133
(260) 436-8585
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Gage Manning Caudell
- Po Box 2526
- Fort Wayne, IN
- Zip : 46801-2526
- Fax : (260) 436-8585
- Phone : (260) 436-8686
Second Address
- Gage Manning Caudell
- 7601 W Jefferson Blvd
- Fort Wayne, IN
- Zip : 46804-4133
- Fax : (260) 436-8585
- Phone : (260) 436-8686
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 07001098A | IN |
| N | 213ES0103X | Foot & Ankle Surgery | 36003452 | OH |
National Provider Identifier
| NPI | 1013188291 |
|---|---|
| Provider Name | Gage Manning Caudell |
| First Address | Fort Wayne, IN 46801-2526 |
| Second Address | Fort Wayne, IN 46804-4133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2008 |
| Last Update Date | 07/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000646353 | ANTHEM (01) | |
| 200993700 | (05) | IN |
| P00818539 | RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.