Burlington Pediatric Association, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18676 Issued in IA

Legal business name

BURLINGTON PEDIATRIC ASSOCIATION, P.C.

Practice address

1223 S Gear Ave
Suite 108
West Burlington, IA 52655-1685

Phone

(319) 753-5177

Fax

(319) 753-0893

NPI assigned

Sep 1, 2005

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald R McCabe, M.D.NPI 1598718173

Title

Physician

Phone

(319) 753-5177

Specialties & licenses 1

Addresses

Other identifiers 10

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald R McCabe, M.D.

  • Pediatrics Physician
  • West Burlington, IA
  • NPI 1598718173
  Authorized official Same address or phone

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1942294244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 108",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551685",
            "telephone_number": "319-753-5177",
            "fax_number": "319-753-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 108",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551685",
            "telephone_number": "319-753-5177",
            "fax_number": "319-753-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON PEDIATRIC ASSOCIATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "319-753-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "18676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127167",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. FRANCES JACKSON",
            "identifier": "00733",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "15057",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150573",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065342",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161158",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. WILLIAMS DAWS",
            "identifier": "16116",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DONALD MCCABE",
            "identifier": "12716",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JAMES HENDRIX",
            "identifier": "16115",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161166",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.