Organization Active NPI

E.S.Cabal Jr MD Inc

Doing business as E.S.Cabal,Jr.,Inc

  • Gynecology Physician
  • Westlake, OH
National Provider Identifier
1629334420
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35-034397 Issued in OH
Legal business name
E.S.CABAL JR MD INC
Doing business as
E.S.Cabal,Jr.,Inc
Practice address
29099 Health Campus Dr BLDG 3
Suite280
Westlake, OH 44145-5200
Phone
(440) 835-6205
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Eustaquio Steve Cabal Jr., M.D.
Title
President/OB-GYN
Phone
(440) 835-6205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 35-034397 OH Primary

Addresses

Primary practice location

29099 Health Campus Dr BLDG 3
Suite280
Westlake, OH 44145-5200

Mailing address

29099 Health Campus Dr BLDG 3
Suite280
Westlake, OH 44145-5200
Phone (440) 835-6205

Other identifiers 1

IdentifierTypeStateIssuer
0183331MedicaidOH

Other names 1

  • E.S.CABAL,JR.,INC Doing business as

National Provider Directory

National Provider Directory

Locations

29099 Health Campus Dr
Ste 280
Westlake, OH 44145
Phone (216) 293-0282

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1629334420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR BLDG 3",
            "address_2": "SUITE280",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-835-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR BLDG 3",
            "address_2": "SUITE280",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-835-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.S.CABAL JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "CABAL",
        "authorized_official_first_name": "EUSTAQUIO",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT/OB-GYN",
        "authorized_official_telephone_number": "440-835-6205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35-034397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.S.CABAL,JR.,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.