Individual provider Active NPI

Richard M Cabot, M.D.

  • Surgery Physician
  • Millinocket, ME
National Provider Identifier
1235199332
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
012431 Issued in ME
Practice address
165 Poplar St
Suite 2
Millinocket, ME 04462-1235
Phone
(207) 723-3003
Fax
(207) 723-3006
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 012431 ME Primary

Addresses

Primary practice location

165 Poplar St
Suite 2
Millinocket, ME 04462-1235

Mailing address

165 Poplar St
Suite 2
Millinocket, ME 04462-1235
Phone (207) 723-3003

Other identifiers 3

IdentifierTypeStateIssuer
A60506OtherHARVARD PILGRAM HEALTHCAR
5770256OtherAETNA US HEALTHCARE
022323OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012431MEMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235199332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 POPLAR ST",
            "address_2": "SUITE 2",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621235",
            "telephone_number": "207-723-3003",
            "fax_number": "207-723-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 POPLAR ST",
            "address_2": "SUITE 2",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621235",
            "telephone_number": "207-723-3003",
            "fax_number": "207-723-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABOT",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "012431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM HEALTHCAR",
            "identifier": "A60506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5770256",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "022323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

Verify at the official NPI Registry.