Active NPI
Robert A Cain, D.O
- Pulmonary Disease Physician
- Kettering, OH
National Provider Identifier
1427047570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 34005200
- Practice address
- 5250 Far Hills Ave
Suite 210
Kettering, OH 45429-2382 - Phone
- (937) 433-9053
- Fax
- (937) 433-9054
- NPI assigned
- Oct 20, 2005
- Last updated
- Aug 21, 2008
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 34005200 | OH | Primary |
Addresses
Primary practice location
5250 Far Hills Ave
Suite 210
Kettering, OH 45429-2382
Mailing address
5250 Far Hills Ave
Suite 210
Kettering, OH 45429-2382
Phone (937) 433-9053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000018358 | Other | OH | ANTHEM |
| 0837947 | Medicaid | OH |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005200 | OH | MD | Pulmonary Disease Physician |
| 3400 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asthma and Emphysema Center Inc | Pulmonary Disease | 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.
-
- Pulmonary Disease Physician
- Dayton, OH
- NPI 1609998293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1427047570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 FAR HILLS AVE",
"address_2": "SUITE 210",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292382",
"telephone_number": "937-433-9053",
"fax_number": "937-433-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 FAR HILLS AVE",
"address_2": "SUITE 210",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292382",
"telephone_number": "937-433-9053",
"fax_number": "937-433-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "34005200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000018358",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0837947",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.