Provider Demographics
NPI:1710931878
Name:CESAR, JAMES JOSEPH (DO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:CESAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 WINTERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-8850
Mailing Address - Country:US
Mailing Address - Phone:417-334-5617
Mailing Address - Fax:417-334-5631
Practice Address - Street 1:288 WINTERGREEN RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-8850
Practice Address - Country:US
Practice Address - Phone:417-334-5617
Practice Address - Fax:417-334-5631
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105494207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO247694409Medicaid