Active NPI
Vicente Reyes Carag Jr., M.D.
- Surgery Physician
- Havre de Grace, MD
National Provider Identifier
1851365084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D17195
- Practice address
- 504 Lewis St
Havre de Grace, MD 21078-3420 - Phone
- (410) 939-0700
- Fax
- (410) 939-0703
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D17195 | MD | Primary |
Addresses
Primary practice location
504 Lewis St
Havre de Grace, MD 21078-3420
Mailing address
504 Lewis St
Havre de Grace, MD 21078-3420
Phone (410) 939-0700
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D17195 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Surgical Associates, LLC | Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgery Physician
- Bel Air, MD
- NPI 1629175997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1851365084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 LEWIS ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783420",
"telephone_number": "410-939-0700",
"fax_number": "410-939-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 LEWIS ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783420",
"telephone_number": "410-939-0700",
"fax_number": "410-939-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAG",
"first_name": "VICENTE",
"middle_name": "REYES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D17195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.