Individual provider Active NPI

David M Cahill, MD

  • Surgery Physician
  • Wellsboro, PA
National Provider Identifier
1326044256
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD036511E Issued in PA
Practice address
15 Meade St
Ste L5
Wellsboro, PA 16901-1813
Phone
(570) 724-4670
Fax
(570) 724-3896
NPI assigned
Jun 24, 2005
Last updated
Nov 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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 MD036511E PA Primary

Addresses

Primary practice location

15 Meade St
Ste L5
Wellsboro, PA 16901-1813

Mailing address

15 Meade St
Ste L5
Wellsboro, PA 16901-1813
Phone (570) 724-4670

Other identifiers 1

IdentifierTypeStateIssuer
001057474002MedicaidPA

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

LicenseStateTypeSpecialty
MD036511EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tioga Healthcare Providers 8, Inc Surgery Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1326044256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEADE ST",
            "address_2": "STE L5",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011813",
            "telephone_number": "570-724-4670",
            "fax_number": "570-724-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEADE ST",
            "address_2": "STE L5",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011813",
            "telephone_number": "570-724-4670",
            "fax_number": "570-724-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD036511E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001057474002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.