Individual provider Active NPI

Liberato Galingan Cabotaje, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Steubenville, OH
National Provider Identifier
1962401992
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35035492 Issued in OH
Practice address
4000 Johnson Rd
Trinity Medical Center West
Steubenville, OH 43952-2300
Phone
(740) 264-8188
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35035492 OH Primary
Hematology (Pathology) Physician 207ZH0000X OH

Addresses

Primary practice location

4000 Johnson Rd
Trinity Medical Center West
Steubenville, OH 43952-2300

Mailing address

PO Box 2070
Weirton, WV 26062-1270

Other identifiers 3

IdentifierTypeStateIssuer
000000211398OtherOHANTHEM BCBS
0102153000MedicaidWV
0801645MedicaidOH

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

LicenseStateTypeSpecialty
035035492OHMDHematology (Pathology) Physician
35035492OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Pathology Associates Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Kapo Enterprises Past Accepting new patients
Charleston Pathology Associates PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

6100 Waterford District Dr
Ste 450
Miami, FL 33126

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1962401992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260621270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD",
            "address_2": "TRINITY MEDICAL CENTER WEST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522300",
            "telephone_number": "740-264-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABOTAJE",
        "first_name": "LIBERATO",
        "middle_name": "GALINGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35035492",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000211398",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102153000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.