Provider Demographics
NPI:1356376503
Name:CADER, CAS MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:CAS
Middle Name:MICHAEL
Last Name:CADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:505 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3120
Mailing Address - Country:US
Mailing Address - Phone:252-726-8414
Mailing Address - Fax:252-726-9172
Practice Address - Street 1:505 N 35TH ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3120
Practice Address - Country:US
Practice Address - Phone:252-726-8414
Practice Address - Fax:252-726-9172
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5284581OtherCIGNA
NC080068273OtherRAILROAD MEDICARE
NC5595362OtherAETNA
NC20619OtherBCBS
NCB91482Medicare UPIN
NC080068273OtherRAILROAD MEDICARE