Jack Richard Cahn, MD
Individual provider Active NPI Family Medicine Physician · Sparta, NC
NPI 1669444527 · NPPES record last updated Dec 12, 2007
Key facts
- NPI
- 1669444527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19788 (NC)
- Practice address
- 214 Doctors St
Sparta, NC 28675-9247 - Phone
- (336) 372-5606
- Fax
- (336) 372-6211
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19788 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alleghany Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19788 | NC | Yes |
Addresses
Primary practice location
214 Doctors St
Sparta, NC 28675-9247
Mailing address
214 Doctors St
Sparta, NC 28675
Phone (336) 372-5606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21734 | Other | MEDCOST | |
| 5001 | Other | PARTNERS CHOICE | |
| 5603595 | Medicaid | VA | |
| 20644 | Other | NCBCBS | |
| 8920644 | Medicaid | NC | |
| 0107814 | Other | UNITIED HEALTHCARE |
Other providers in Sparta, NC
- Brenda W. Maines
- Bryan Family Services LLC
- Denise Absher Bryant
- Harold C. Burchel Jr.
- Sandra Lane Busic
- Sharon Renee Cahn
- Richard Calhoun
- Cape Fear Optometric Clinic PA
- Capstone Wellness Center
- Center for Family Wellness, PA
All providers in Sparta, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.