Active NPI
Jeffrey L. Cain, M.D.
- Obstetrics & Gynecology Physician
- Elkhart, IN
National Provider Identifier
1306935002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01023834A
- Practice address
- 3301 County Road 6 E
Elkhart, IN 46514-7673 - Phone
- (574) 264-9635
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01023834A | IN | Primary |
Addresses
Primary practice location
3301 County Road 6 E
Elkhart, IN 46514-7673
Mailing address
1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450
Phone (574) 293-2893
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000697645 | Other | IN | ANTHEM - FWO |
| 100357650 | Medicaid | IN | |
| 000000697652 | Other | IN | ANTHEM - FPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01023834A | IN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1306935002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 LAWN AVE",
"address_2": "SUITE 100",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142450",
"telephone_number": "574-293-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COUNTY ROAD 6 E",
"city": "ELKHART",
"state": "IN",
"postal_code": "465147673",
"telephone_number": "574-264-9635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "JEFFREY",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01023834A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - FWO",
"identifier": "000000697645",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100357650",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - FPA",
"identifier": "000000697652",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.