Clifford Quinn Cabansag, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

35.099392 Issued in OH

Practice address

4302 Roosevelt Blvd
Middletown, OH 45044-6697

Phone

(513) 433-1032

Fax

(513) 433-1245

NPI assigned

Sep 16, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cliff Quinn Cabansag Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pax Treatment Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Middletown, OH
  • NPI 1609351477
  Medicare reassignment NPD
• TCN Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Xenia, OH
  • NPI 1336118256
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1003065905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446697",
            "telephone_number": "513-433-1032",
            "fax_number": "513-433-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446697",
            "telephone_number": "513-433-1032",
            "fax_number": "513-433-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Daruma Pkwy",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454397909",
            "country_code": "US",
            "telephone_number": "937-262-3500 x5098",
            "fax_number": "937-496-5274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABANSAG",
        "first_name": "CLIFFORD",
        "middle_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.099392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIFF",
            "last_name": "CABANSAG",
            "middle_name": "QUINN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel A Butler, M.D.
• Martina Byrd Slone
• Kelsey Byrd
• Jimmy Byun
• C. Diederick Van Der Velde (The Woodlands of Middletown, LLC)
• Jacqueline Marie Caldwell
• Kristen Caldwell, D.O.
• Ebony Danielle Calhoun, LPN
• Rebecca Renee Calhoun, LPN
• Tyrone F Callahan

• Addiction Medicine (Internal Medicine) Physician in Middletown, OH
• Providers in Middletown, OH by specialty
• Addiction Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.