Provider Demographics
NPI:1003902313
Name:CORNELIUS F. CATHCART, PEDIATRICS, PA
Entity Type:Organization
Organization Name:CORNELIUS F. CATHCART, PEDIATRICS, PA
Other - Org Name:N.C. PEDIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:F
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-693-7337
Mailing Address - Street 1:1417 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2578
Mailing Address - Country:US
Mailing Address - Phone:919-693-7337
Mailing Address - Fax:919-692-1465
Practice Address - Street 1:1417 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2578
Practice Address - Country:US
Practice Address - Phone:919-693-7337
Practice Address - Fax:919-692-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty