Active NPI
Clyde A Cabot, DO
- Anesthesiology Physician
- Tucson, AZ
National Provider Identifier
1043329980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3868
- Practice address
- 831 S Rincon Rising Rd
Tucson, AZ 85748-6401 - Phone
- (520) 271-8603
- Fax
- (520) 885-6080
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 3868 | AZ | Primary |
Addresses
Primary practice location
831 S Rincon Rising Rd
Tucson, AZ 85748-6401
Mailing address
PO Box 17480
Tucson, AZ 85731-7480
Phone (520) 271-8603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 777485 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital LLC | Past | Accepting new patients | |
| Foothills Anesthesiology PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1063508315
-
- Medicare Defined Swing Bed Hospital Unit
- Tucson, AZ
- NPI 1922604123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1043329980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17480",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857317480",
"telephone_number": "520-271-8603",
"fax_number": "520-885-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 S RINCON RISING RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857486401",
"telephone_number": "520-271-8603",
"fax_number": "520-885-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABOT",
"first_name": "CLYDE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "3868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777485",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.