Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101231723 | VA |
NPI | 1144242298 |
---|---|
Provider Name | Michael Andrew Caines |
First Address | Suffolk, VA 23435-2663 |
Second Address | Suffolk, VA 23435-2663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 28/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006408664 | (05) | VA |
200043180 | MEDICARE RR (01) | VA |
G22069 | (02) | VA |
P00799702 | RR MEDICARE (01) | VA |