Organization Active NPI

Michael L Cahn MD PA

  • Surgery Physician
  • Shallotte, NC
National Provider Identifier
1013074574
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20000740 Issued in NC
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

Updated by the provider on Feb 21, 2024

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.NPI 1215005459
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89126VTMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.