Provider Demographics
NPI:1346354131
Name:MCCABE, JAMES DENNIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DENNIS
Last Name:MCCABE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:127 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99712-2407
Mailing Address - Country:US
Mailing Address - Phone:907-456-1727
Mailing Address - Fax:907-456-1727
Practice Address - Street 1:114 W 11TH ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-5136
Practice Address - Country:US
Practice Address - Phone:505-388-1511
Practice Address - Fax:505-388-3465
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK3218207R00000X
NMMD2007-0046207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKE47561Medicare UPIN