Individual provider Active NPI

James S Caddell, PA-C

  • Medical Physician Assistant
  • Bangor, ME
National Provider Identifier
1114979937
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-670 Issued in ME
Practice address
885 Union St
Suite 215
Bangor, ME 04401-3083
Phone
(207) 973-9980
Fax
(207) 973-7515
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-670 ME Primary

Addresses

Primary practice location

885 Union St
Suite 215
Bangor, ME 04401-3083

Mailing address

885 Union St
Suite 215
Bangor, ME 04401-3083
Phone (207) 973-9980

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-670MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Cardiology Associates Past Accepting new patients
Eastern Maine Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1114979937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 UNION ST",
            "address_2": "SUITE 215",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013083",
            "telephone_number": "207-973-9980",
            "fax_number": "207-973-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 UNION ST",
            "address_2": "SUITE 215",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013083",
            "telephone_number": "207-973-9980",
            "fax_number": "207-973-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADDELL",
        "first_name": "JAMES",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA-670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.