Robert W. McCabe, MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

13081 Issued in WI

Legal business name

ROBERT W. MCCABE, MD SC

Practice address

2323 N Mayfair Rd
Ste 310
Wauwatosa, WI 53226-1504

Phone

(414) 771-5080

Fax

(414) 771-6103

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert W. McCabe

Title

President

Phone

(414) 771-5080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1427230374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD",
            "address_2": "STE 310",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261504",
            "telephone_number": "414-771-5080",
            "fax_number": "414-771-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD",
            "address_2": "STE 310",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261504",
            "telephone_number": "414-771-5080",
            "fax_number": "414-771-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. MCCABE, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-771-5080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "13081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30942600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.