Organization Active NPI

Donald E. Cagle, M.D.

  • General Practice Physician
  • Nacogdoches, TX
National Provider Identifier
1083733257
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DONALD E. CAGLE, M.D.
Practice address
320 Russell Blvd
Nacogdoches, TX 75965-1240
Phone
(936) 569-6411
Fax
(936) 569-6446
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janet Allen
Title
Medical Secretary
Phone
(936) 569-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

320 Russell Blvd
Nacogdoches, TX 75965-1240

Mailing address

320 Russell Blvd
Nacogdoches, TX 75965-1240
Phone (936) 569-6411

Other identifiers 1

IdentifierTypeStateIssuer
0021JKOtherTXBCBS GRP

National Provider Directory

National Provider Directory

Locations

320 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 559-9019

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083733257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651240",
            "telephone_number": "936-569-6411",
            "fax_number": "936-569-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651240",
            "telephone_number": "936-569-6411",
            "fax_number": "936-569-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E. CAGLE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MEDICAL SECRETARY",
        "authorized_official_telephone_number": "936-569-6411"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "0021JK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.