Provider Demographics
NPI:1003861147
Name:MCCABE, JAMES CARDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARDEN
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7503
Mailing Address - Country:US
Mailing Address - Phone:910-343-9800
Mailing Address - Fax:910-343-9800
Practice Address - Street 1:1302 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7503
Practice Address - Country:US
Practice Address - Phone:910-343-9800
Practice Address - Fax:910-343-9800
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00-38134207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC55621OtherBC/BS-NC INDIVIDUAL #
NC31-28839OtherUNITED HEALTH CARE
NC8955621Medicaid
NC2142388FMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
NC390003184Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NC8955621Medicaid