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1265503197

NPI Code Detail

MEDICARE: ROBERT JASON CAUGHEY MD

MEDICARE: ROBERT JASON CAUGHEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	MD430275	PA
2	207Y00000X	Otolaryngology Physician	MD430275	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00400431	OTHER	PA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA1956813	OTHER		BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MD430275	OTHER	PA	STATE LICENSE

General Provider Information

NPI Number	:	1265503197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JASON CAUGHEY MD

Provider Business Mailing Address
First Line	:	3341 BEALE AVE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16601-1549
Country	:	US
Telephone Number	:	814-944-5357
Fax Number	:	814-946-8017

Provider Business Practice Location Address
First Line	:	3341 BEALE AVE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16601-1549
Country	:	US
Telephone Number	:	814-944-5357
Fax Number	:	814-946-8017

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	02/26/2025

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Directions to “ ROBERT JASON CAUGHEY MD” Practice Location

Language	Start Address	Practice Location

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