Kenneth C Cable, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22364 Issued in AZ

Practice address

39810 N 105TH Way
Scottsdale, AZ 85262-3314

Phone

(480) 789-2039

Fax

(480) 595-9862

NPI assigned

Sep 7, 2005

Reactivated

Apr 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Life Care Centers of America, Inc.

  • Skilled Nursing Facility
  • Prescott, AZ
  • NPI 1497793079
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1295729168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13837",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673837",
            "telephone_number": "480-789-2039",
            "fax_number": "480-595-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39810 N 105TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623314",
            "telephone_number": "480-789-2039",
            "fax_number": "480-595-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLE",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-11-28",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C and J Dental Group, PLLC
• Marilyn S. Cabay, PH.D.
• Cheri Cabeza Debaca, NP
• Cassie Cabindol
• Pamela S Cable-Jackson, PT
• Lander Cabrera, NP
• Michelle Cabret-Carlotti, M.D., D.D.S.
• Christine Caceres
• Edward Rafael Cachay, M.D.
• Cactus Medical Group, LLC

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.