Jack R Cavalcant, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

13635 Issued in AZ

Practice address

1432 S Dobson Rd
106
Mesa, AZ 85202-4768

Phone

(480) 969-3637

Fax

(480) 969-6568

NPI assigned

Feb 13, 2006

Last updated

Apr 4, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1932173531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALCANT",
        "first_name": "JACK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "13635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24111701",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "120146",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie L Catron, M.D.
• Margaret Cattey, MSW LCSW 1845
• Tommy Joseph Cattey, AUDIOLOGIST
• Leslie M Caudillo
• Myron Causey
• Drew Cavanaugh, LCSW
• Janine A Cawthorne, BCBA
• Janet L Caywood, CCC SLP
• CBD Healthcare LLC
• CCFX,LLC

• Hematology & Oncology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.