Active NPI
Ellen Mary Cabe, MD
- Pediatrics Physician
- Meadville, PA
National Provider Identifier
1104863398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD448471
- Practice address
- 765 Liberty St
Suite 111
Meadville, PA 16335-2566 - Phone
- (814) 336-6384
- Fax
- (814) 724-2771
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD448471 | PA | Primary |
Addresses
Primary practice location
765 Liberty St
Suite 111
Meadville, PA 16335-2566
Mailing address
765 Liberty St
Suite 111
Meadville, PA 16335-2566
Phone (814) 336-6384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028786800001 | Medicaid | PA | |
| 0007016476 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD448471 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Pediatrics, PC | Pediatrics | Past | Accepting new patients |
| Ellen Mary Cabe | Pediatrics | Past | Accepting new patients |
| Wvva Health Care Alliance, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1104863398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 LIBERTY ST",
"address_2": "SUITE 111",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352566",
"telephone_number": "814-336-6384",
"fax_number": "814-724-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 LIBERTY ST",
"address_2": "SUITE 111",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352566",
"telephone_number": "814-336-6384",
"fax_number": "814-724-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABE",
"first_name": "ELLEN",
"middle_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD448471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028786800001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007016476",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.