Active NPI
John D Cacciamani, M.D.
- Pulmonary Disease Physician
- Clarks Summit, PA
National Provider Identifier
1790064137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD017554E
- Practice address
- 1345 Glenview Rd.
Clarks Summit, PA 18411 - Phone
- (570) 563-2693
- NPI assigned
- Aug 16, 2011
- Last updated
- Aug 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD017554E | PA | Primary |
Addresses
Primary practice location
1345 Glenview Rd.
Clarks Summit, PA 18411
Mailing address
1345 Glenview Rd.
Clarks Summit, PA 18411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017554E | PA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1790064137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 GLENVIEW RD.",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 GLENVIEW RD.",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411",
"telephone_number": "570-563-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCIAMANI",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD017554E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.