Organization Active NPI

David L Maccabee MD PC

  • Surgery Physician
  • Hood River, OR
National Provider Identifier
1104055359
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD23129 Issued in OR
Legal business name
DAVID L MACCABEE MD PC
Practice address
514 State St Ste a
Hood River, OR 97031-2074
Phone
(541) 436-3880
Fax
(541) 436-3881
NPI assigned
Jul 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Dr. David L Maccabee, MD
Title
President
Phone
(541) 436-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD23129 OR Primary

Addresses

Primary practice location

514 State St Ste a
Hood River, OR 97031-2074

Mailing address

514 State St Ste a
Hood River, OR 97031-2074
Phone (541) 436-3880

National Provider Directory

National Provider Directory

Locations

810 13th St
Hood River, OR 97031
Phone (541) 386-1818

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": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1104055359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 STATE ST STE A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312074",
            "telephone_number": "541-436-3880",
            "fax_number": "541-436-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 STATE ST STE A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312074",
            "telephone_number": "541-436-3880",
            "fax_number": "541-436-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L MACCABEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "MACCABEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-436-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD23129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.