Organization Active NPI

Jose R. Caballero, M.D. P.C.

  • Pediatrics Physician
  • Anniston, AL
National Provider Identifier
1043459050
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10533 Issued in AL
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

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Jose Caballero, M.D.NPI 1881603090
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000087783MedicaidAL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.