Cosme R Cagas, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036052410 Issued in IL

Legal business name

COSME R CAGAS, MD

Doing business as

cosmelito r cagas, md

Practice address

1 Bunkum Woods Dr
Fairview Heights, IL 62208-1008

Phone

(618) 398-6308

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Cosme Ralota Cagas II, MDNPI 1144778325

Title

Owner

Phone

(618) 398-6308

Specialties & licenses 1

Addresses

Other names 1

• cosmelito r cagas, md Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cosme R. Cagas, MD

  • Specialist
  • Fairview HTS., IL
  • NPI 1144778325
  NPD (past) Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1124478920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUNKUM WOODS DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081008",
            "telephone_number": "618-398-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUNKUM WOODS DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081008",
            "telephone_number": "618-398-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSME R CAGAS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "CAGAS",
        "authorized_official_first_name": "COSME",
        "authorized_official_middle_name": "RALOTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-398-6308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036052410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cosmelito r cagas, md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy Cloe
• Tyler James Clover, PHARMD
• Stacey Collins, PT
• Markeisha L Constant, LPC
• Cooperative Home Care, Inc.
• Jennifer Cowdry, PT
• Morgan Crawford, MHP
• Sherkeitha Crawford
• Alison Cremeens
• CD Cremeens

• Specialist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.