Active NPI
Horatio V. Cabasares, MD, PC
- Surgery Physician
- Perry, GA
National Provider Identifier
1760493902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 018280
- Legal business name
- HORATIO V. CABASARES, MD, PC
- Practice address
- 1020 Keith Dr
Perry, GA 31069-2947 - Phone
- (478) 987-0035
- Fax
- (478) 987-6918
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Horatio V Cabasares, MD
- Title
- Owner
- Phone
- (478) 987-0035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 018280 | GA | Primary |
Addresses
Primary practice location
1020 Keith Dr
Perry, GA 31069-2947
Mailing address
1020 Keith Dr
Perry, GA 31069-2947
Phone (478) 987-0035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000199493A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1020 Keith Dr
Perry, GA 31069
Phone (478) 224-2209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290470400000",
"number": "1760493902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 KEITH DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310692947",
"telephone_number": "478-987-0035",
"fax_number": "478-987-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 KEITH DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310692947",
"telephone_number": "478-987-0035",
"fax_number": "478-987-6918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORATIO V. CABASARES, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2010-11-23",
"status": "A",
"authorized_official_last_name": "CABASARES",
"authorized_official_first_name": "HORATIO",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-987-0035",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "018280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000199493A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.