Individual provider Active NPI

David Lee Cathcart, M.D.

  • Family Medicine Physician
  • Camdenton, MO
National Provider Identifier
1821093287
Registry record updated Jul 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
109547 Issued in MO
Practice address
948 E US Highway 54
Camdenton, MO 65020-6834
Phone
(573) 346-4446
Fax
(573) 346-7501
NPI assigned
Jun 14, 2005
Last updated
Jul 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 109547 MO Primary

Addresses

Primary practice location

948 E US Highway 54
Camdenton, MO 65020-6834

Mailing address

PO Box 777
304 W. Washington Avenue
Richland, MO 65556-0777
Phone (573) 765-5131

Other identifiers 4

IdentifierTypeStateIssuer
208209049MedicaidMO
002013314OtherMOPTAN
P00836332OtherRAILROAD MEDICARE
431560263OtherMOTRICARE WEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000162 MO Practitioner - Family Practice 1951433614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109547MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Medical Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dcathcart159537@directb.mercy.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467504000000",
    "number": "1821093287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "address_2": "304 W. WASHINGTON AVENUE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-765-5131",
            "fax_number": "573-765-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 E US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206834",
            "telephone_number": "573-346-4446",
            "fax_number": "573-346-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHCART",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "109547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208209049",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "002013314",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00836332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camdenton, MO

Sources for this page

Verify at the official NPI Registry.