Organization Active NPI

Horatio V. Cabasares, MD, PC

  • Surgery Physician
  • Perry, GA
National Provider Identifier
1760493902
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
018280 Issued in GA
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

Updated by the provider on Nov 23, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000199493AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.