Provider Demographics
NPI:1043386931
Name:MCCABE, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2996 7TH AVE
Mailing Address - Street 2:STE B
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-3713
Mailing Address - Country:US
Mailing Address - Phone:319-377-4844
Mailing Address - Fax:319-377-0852
Practice Address - Street 1:2996 7TH AVE
Practice Address - Street 2:STE B
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3713
Practice Address - Country:US
Practice Address - Phone:319-377-4844
Practice Address - Fax:319-377-0852
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA20629207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1043386931Medicaid
IA2146142Medicaid
IA719260196Medicare PIN
IA1043386931Medicaid
IAE09866Medicare UPIN