Jack R Cavalcant MD PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

JACK R CAVALCANT MD PC

Practice address

1432 S Dobson Rd
106
Mesa, AZ 85202-4768

Phone

(480) 969-3637

Fax

(480) 969-6568

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Julie Casillas

Title

Administrator

Phone

(480) 969-3637

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1255538492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK R CAVALCANT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-969-3637"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24111701",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirna Mousa Jabbo
• Adonis Jabbour, M.D.
• Jamil Jaber, MD
• Amal A. Jabra, M.D.
• Mariela Jacinto
• Jack Ryan Recovery Centers
• Kendra Jackimczyk, LCSW
• Kimberly Jackowski, LAC
• Lorin Eric Jackrel, DMD
• Timothy Jacks, D.O.

• Hematology & Oncology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.