Provider Demographics
NPI:1073195822
Name:MCCABE MEDICAL PLLC
Entity Type:Organization
Organization Name:MCCABE MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:303-859-1414
Mailing Address - Street 1:1153 BERGEN PKWY
Mailing Address - Street 2:SUITE I, UNIT 302
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-9501
Mailing Address - Country:US
Mailing Address - Phone:720-550-2133
Mailing Address - Fax:
Practice Address - Street 1:32065 CASTLE CT STE 110
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-3501
Practice Address - Country:US
Practice Address - Phone:720-550-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty