Provider Demographics
NPI:1235133257
Name:CAIN, JAMES E JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:CAIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:525 WEST RIVER WOODS PARKWAY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-1058
Mailing Address - Country:US
Mailing Address - Phone:414-961-0304
Mailing Address - Fax:414-961-2061
Practice Address - Street 1:525 WEST RIVER WOODS PARKWAY
Practice Address - Street 2:SUITE 130
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212
Practice Address - Country:US
Practice Address - Phone:414-961-0304
Practice Address - Fax:414-961-2061
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI33238207XS0117X, 207X00000X
UT7792214-1205207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
200017747OtherRAILROAD MEDICARE
WI31838000Medicaid
000702724Medicare PIN
200017747OtherRAILROAD MEDICARE
C49935Medicare UPIN