Basic Information
Provider Information
NPI: 1619127701
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEAGER
FirstName: CAITLIN
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 68 SOUTH SERVICE ROAD
Address2: SUITE 350
City: MELVILLE
State: NY
PostalCode: 117472358
CountryCode: US
TelephoneNumber: 5169453107
FaxNumber: 5169453131
Practice Location
Address1: 500 HOSPITAL DR
Address2: ANESTHESIOLOGY DEPT
City: WARRENTON
State: VA
PostalCode: 201863027
CountryCode: US
TelephoneNumber: 5403165000
FaxNumber: 7032959369
Other Information
ProviderEnumerationDate: 09/24/2008
LastUpdateDate: 03/28/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X0101249487VAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
30395001VAKAISEROTHER
K-142-000101VABCBS NCAOTHER
161912770105VA MEDICAID


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