Organization Active NPI

Kenneth C Cable MD PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1811082092
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
22364 Issued in AZ
Legal business name
KENNETH C CABLE MD PLLC
Practice address
39810 N 105TH Way
Scottsdale, AZ 85262-3314
Phone
(480) 789-2039
Fax
(480) 595-9862
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Kenneth C Cable, M.D.
Title
Physician
Phone
(480) 789-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 22364 AZ Primary

Addresses

Primary practice location

39810 N 105TH Way
Scottsdale, AZ 85262-3314

Mailing address

PO Box 13837
Scottsdale, AZ 85267-3837
Phone (480) 789-2039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1811082092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13837",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673837",
            "telephone_number": "480-789-2039",
            "fax_number": "480-595-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39810 N 105TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623314",
            "telephone_number": "480-789-2039",
            "fax_number": "480-595-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C CABLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "CABLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-789-2039",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "22364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.