Active NPI
Michael L Cahn MD PA
- Surgery Physician
- Shallotte, NC
National Provider Identifier
1013074574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20000740
- Legal business name
- MICHAEL L CAHN MD PA
- Practice address
- 4503 Main St Ste 2
Shallotte, NC 28470-4583 - Phone
- (910) 363-4949
- Fax
- (910) 477-6285
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael L Cahn, M.D.,P.A.
- Title
- Physician
- Phone
- (910) 642-6686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20000740 | NC | Primary |
Addresses
Primary practice location
4503 Main St Ste 2
Shallotte, NC 28470-4583
Mailing address
385 Timber Cove Dr
Whiteville, NC 28472-8918
Phone (910) 642-6686
Other practice location 1
924 N Howe St
Southport, NC 28461-3038
Phone (910) 363-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89126VT | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040821000174 | NC | Part B Supplier - Clinic/Group Practice | 4688648132 |
Receives reassigned benefits from 1 practitioner Practice locations: Southport, NC; Shallotte, NC |
National Provider Directory
National Provider DirectoryLocations
4503 Main St
Ste 2
Shallotte, NC 28470
Phone (910) 363-4949
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1013074574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 TIMBER COVE DR",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728918",
"telephone_number": "910-642-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4503 MAIN ST STE 2",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704583",
"telephone_number": "910-363-4949",
"fax_number": "910-477-6285"
}
],
"practiceLocations": [
{
"address_1": "924 N Howe St",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "NC",
"postal_code": "284613038",
"country_code": "US",
"telephone_number": "910-363-4949",
"fax_number": "910-477-6285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHAEL L CAHN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "CAHN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "910-642-6686",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,P.A."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NC",
"license": "20000740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89126VT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.