Johnny Ray McCabe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1244 Issued in OK

Practice address

3 E Clark Bass Blvd
Suite 2
McAlester, OK 74501-4283

Phone

(918) 421-6960

Fax

(918) 421-6094

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEIDAA

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.

• McAlester Medical Services, LLC

  • Internal Medicine Physician
  • McAlester, OK
  • NPI 1154317998
  Medicare reassignment
• Ghazi M. Rayan, MD, Inc.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1972807667
  NPD (past)
• Lawton Urology

  • Urology Physician
  • Lawton, OK
  • NPI 1760997092
  NPD (past)
• Pushmataha Family Medical Center Inc

  dba Pushmataha Family Medical Center of Boswell

  • Federally Qualified Health Center (FQHC)
  • Boswell, OK
  • NPI 1487193819
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1912960196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-421-6960",
            "fax_number": "918-421-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E CLARK BASS BLVD",
            "address_2": "SUITE 2",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014283",
            "telephone_number": "918-421-6960",
            "fax_number": "918-421-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "JOHNNY",
        "middle_name": "RAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "1324230001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "J MCCABE PA",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (PALMETTO)",
            "identifier": "P00090959",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200005680B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONER PCP",
            "identifier": "200005680C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McAlester SNF Operations LLC (Green Meadows Nursing and Rehabilitation Center)
• McAlester Vision Center Inc
• Nicole Leeann McAlester, APRN
• Norman W McAlester, M.D.
• McBee and Davis Inc (Medicine Shoppe)
• John McClellan Jr.
• Gayle McDonald, M.S.
• Jason Adam McElyea, D.O.
• Allison Faith McGee
• James McGinnis

• Physician Assistant in McAlester, OK
• Providers in McAlester, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.