Active NPI
Donald E Cagle, M.D.
- Surgery Physician
- Nacogdoches, TX
National Provider Identifier
1598761934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- F7713
- Practice address
- 320 Russell Blvd
Nacogdoches, TX 75965-1240 - Phone
- (936) 569-6411
- Fax
- (936) 569-6446
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F7713 | TX | Primary |
Addresses
Primary practice location
320 Russell Blvd
Nacogdoches, TX 75965-1240
Mailing address
320 Russell Blvd
Nacogdoches, TX 75965-1240
Phone (936) 569-6411
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1547184-01 | Medicaid | TX | |
| 8G8160 | Other | TX | BCBS PROV ID |
| 00000021JK | Other | TX | BCBS PROV # |
| 751702073 | Other | TX | AETNA PROV # |
| 827023082 | Other | TX | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100616000569 | TX | Practitioner - General Surgery | 0042340119 | Practice locations: Nacogdoches, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1598761934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 RUSSELL BLVD",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651240",
"telephone_number": "936-569-6411",
"fax_number": "936-569-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 RUSSELL BLVD",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651240",
"telephone_number": "936-569-6411",
"fax_number": "936-569-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGLE",
"first_name": "DONALD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "F7713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1547184-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV ID",
"identifier": "8G8160",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "00000021JK",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROV #",
"identifier": "751702073",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "827023082",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.