Active NPI
Jose R. Caballero, M.D. P.C.
- Pediatrics Physician
- Anniston, AL
National Provider Identifier
1043459050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10533
- Legal business name
- JOSE R. CABALLERO, M.D. P.C.
- Practice address
- 901 Leighton Ave
Anniston, AL 36207-5700 - Phone
- (256) 236-4845
- Fax
- (256) 236-5274
- NPI assigned
- Feb 13, 2009
- 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
- Jose Caballero, M.D.
- Title
- Owner
- Phone
- (256) 236-4845
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10533 | AL | Primary |
Addresses
Primary practice location
901 Leighton Ave
Anniston, AL 36207-5700
Mailing address
901 Leighton Ave
Anniston, AL 36207-5700
Phone (256) 236-4845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000087783 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
901 Leighton Ave
Ste 703
Anniston, AL 36207
Phone (256) 236-4845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Anniston, AL
- NPI 1881603090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234483200000",
"number": "1043459050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 LEIGHTON AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075700",
"telephone_number": "256-236-4845",
"fax_number": "256-236-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LEIGHTON AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075700",
"telephone_number": "256-236-4845",
"fax_number": "256-236-5274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE R. CABALLERO, M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A",
"authorized_official_last_name": "CABALLERO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-236-4845",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AL",
"license": "10533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000087783",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.