Marco Antonio Caceres Sr., MD

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

19676 Issued in NC

Practice address

244 Smith Church Rd
Roanoke Rapids, NC 27870-4956

Phone

(252) 535-2350

NPI assigned

Jun 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Wound Care Specialists, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Rocky Mount, NC
  • NPI 1942445762
  NPD (past)
• Roanoke Valley Health Services

  • Gastroenterology Physician
  • Roanoke Rapids, NC
  • NPI 1871745158
  NPD (past)

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1679778005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WALTER AVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701609",
            "telephone_number": "252-537-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704956",
            "telephone_number": "252-535-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-16",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "19676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920639",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Joseph Burrell, PA-C
• Retha Bylsma
• C Douglas Peedin Jr DDS
• C.a.R.E, Inc. (Cognitive Achievement and Rehabilitative Enrichment
• C&M Behavioral Health, PLLC
• Julie Ann Campbell-Barnes, FNP-C
• John Eric Campbell, CRNA
• Carelink Home Health Services, LLC
• Brandon Colby Carlisle, PA-C
• Karl C Carlson Jr., CP, BOCOP, CPT

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.