Organization Active NPI

J M Cain MD PLLC

  • Specialist
  • Port Angeles, WA
National Provider Identifier
1124046180
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00045575 Issued in WA
Legal business name
J M CAIN MD PLLC
Practice address
1021 Caroline St
Port Angeles, WA 98362-3901
Phone
(360) 452-6808
Fax
(360) 417-4127
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
James M Cain, MDNPI 1629090469
Title
Owner
Phone
(360) 452-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00045575 WA Primary

Addresses

Primary practice location

1021 Caroline St
Port Angeles, WA 98362-3901

Mailing address

PO Box 1276
Port Angeles, WA 98362-0235
Phone (360) 452-6808

Other identifiers 1

IdentifierTypeStateIssuer
MD00045575OtherWALICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

777 N 5th Ave
Sequim, WA 98382
Phone (360) 582-2632

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1124046180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620235",
            "telephone_number": "360-452-6808",
            "fax_number": "360-417-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623901",
            "telephone_number": "360-452-6808",
            "fax_number": "360-417-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M CAIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-452-6808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00045575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD00045575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.