Diedre T Cagle, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME 88175 Issued in FL

Practice address

4270 Lake in the Woods Dr
Weeki Wachee, FL 34607-2501

Phone

(352) 597-7249

Fax

(352) 597-9523

NPI assigned

Sep 19, 2005

Last updated

Feb 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Healthcare LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1912949561
  NPD (past)
• Central Florida Health Care Inc

  dba Just for Her

  • Obstetrics & Gynecology Physician
  • Wauchula, FL
  • NPI 1164418919
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1811796469
  NPD (past)
• Sebring Hma Physician Management LLC

  • Family Medicine Physician
  • Sebring, FL
  • NPI 1316993421
  NPD (past)
• Sebring Hospital Management Associates LLC

  dba Highlands Regional Medical Center

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1952344772
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1144215823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136072",
            "telephone_number": "352-799-0046",
            "fax_number": "352-799-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 LAKE IN THE WOODS DR",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346072501",
            "telephone_number": "352-597-7249",
            "fax_number": "352-597-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "DIEDRE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME 88175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271034000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37307",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE - UNSPECIFIED",
            "identifier": "U1375S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01125564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bright Bridge Services LLC
• Andre M Brooks, M.D
• Brownstone Healthcare
• Shannon Roxsanne Burgos, APRN
• McKenzie Burns
• Care a Lot Transportation LLC
• Caring Companions LLC
• Jason A Caruso, PTA
• Erin Lynne Cash, LCSW
• Certus Counseling Center, LLC (Owner/Member)

• Gynecology Physician in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.