Jack a. Cates, M.D.P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R-2487 Issued in AR

Legal business name

JACK A. CATES, M.D.P.A.

Practice address

1710 Malvern Ave
Hot Springs, AR 71901-7132

Phone

(501) 624-3376

Fax

(501) 624-5609

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Bosson

Title

Office Manager

Phone

(501) 624-3376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1306996145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017132",
            "telephone_number": "501-624-3376",
            "fax_number": "501-624-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017132",
            "telephone_number": "501-624-3376",
            "fax_number": "501-624-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK A. CATES, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "BOSSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-624-3376",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AR",
            "license": "R-2487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.