Jerome F McCabe, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21192 Issued in SC

Practice address

4502 Riverside Lane
Murrells Inlet, SC 29576-6813

Phone

(843) 421-5455

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jmccabe114749@uihcdirect.org

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

• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  NPD (past)
• Franklin & Seidelmann Inc

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1972539245
  NPD (past)
• FSH Radiology Inc

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1588869929
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Physicians Imaging - Iberville LLC

  • Multi-Specialty Clinic/Center
  • Plaquemine, LA
  • NPI 1205018389
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1689655383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-577-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSIDE LANE",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766813",
            "telephone_number": "843-421-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "JEROME",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "21192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7717100",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2648513",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211924",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "34195845111518",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016473010001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RXR MEDICARE",
            "identifier": "P00267423",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Mathern, MD
• Kirsi Mathews, PHARMD
• Alyssa Marie Matthiessen, LPC
• Angela D Matthiessen, OT
• Reynaldo Matute, M.D.
• Michael McCaffrey, M.D.
• Joshua Donald McCaslin
• Debra Michelle McCauley, DO
• William David McClam, LDO,CLDO
• Kerri Jo McCoy, APRN,FNP

• Diagnostic Radiology Physician in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.