Ellen Mary Cabe
Organization Active NPI Pediatrics Physician · Chapmanville, WV
NPI 1720020993 · NPPES record last updated Jun 9, 2011
Key facts
- NPI
- 1720020993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ELLEN MARY CABE
- Practice address
- 22 Airport Road
Chapmanville, WV 25508 - Phone
- (304) 855-5083
- Fax
- (304) 855-5729
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Ellen M Cabe, MD
- Title
- Owner
- Phone
- (304) 855-5083
Practitioners 1
-
Ellen Mary Cabe, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
22 Airport Road
Chapmanville, WV 25508
Mailing address
22 Airport Rd
Chapmanville, WV 25508-9698
Phone (304) 855-5083
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001789668 | Other | WV | BCBS |
| 423068 | Other | CARELINK | |
| 1808261000 | Medicaid | WV | |
| 2167633 | Other | MAMSI | |
| 0007016476 | Other | AETNA | |
| 61802 | Other | CARELINK MEDICAID | |
| 62076 | Other | UNICARE |
Other names
- Chapmanville Pediatrics
Other providers in Chapmanville, WV
- Tasha Kay Dingess
- Lisa Lynn Dodge
- Erica Jade Doss
- Patrick Ryan Duty
- Haley Elkins
- Alexa Ellis
- Patrick M Ellis
- Sarah Beth Ellis
- Victoria Nicole Ellis
- Tekisha Eubanks
All providers in Chapmanville, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2011. 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.