Organization Active NPI

McCabe Medical PLLC

  • Internal Medicine Physician
  • Evergreen, CO
National Provider Identifier
1073195822
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MCCABE MEDICAL PLLC
Practice address
32065 Castle CT Ste 110
Evergreen, CO 80439-3501
Phone
(720) 550-2133
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Molly McCabe, PA
Title
Owner, Managing Member
Phone
(303) 859-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

32065 Castle CT Ste 110
Evergreen, CO 80439-3501

Mailing address

1153 Bergen Pkwy
Suite I, Unit 302
Evergreen, CO 80439-9501
Phone (720) 550-2133

Other practice location 1

1805 Kipling St
Lakewood, CO 80215-2873
Phone (720) 550-2133

National Provider Directory

National Provider Directory

Locations

1153 Bergen Pkwy
Ste I
Evergreen, CO 80439
Phone (743) 235-8224

32065 Castle Ct
Ste 110
Evergreen, CO 80439
Phone (720) 550-2133

1153 Bergen Pkwy
Ste I302
Evergreen, CO 80439

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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1073195822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 BERGEN PKWY",
            "address_2": "SUITE I, UNIT 302",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399501",
            "telephone_number": "720-550-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32065 CASTLE CT STE 110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804393501",
            "telephone_number": "720-550-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Kipling St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802152873",
            "country_code": "US",
            "telephone_number": "720-550-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCCABE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER",
        "authorized_official_telephone_number": "303-859-1414",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.