Active NPI
Robert W Cawthon Jr.
- Contractor
- Butler, PA
National Provider Identifier
1972053536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 708933
- Practice address
- 239 S Eberhart Rd
Butler, PA 16001-2842 - Phone
- (724) 487-4746
- Fax
- (815) 550-1947
- NPI assigned
- Oct 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 708933 | PA | Primary |
| Contractor | 171W00000X | 974938 | VA |
Addresses
Primary practice location
239 S Eberhart Rd
Butler, PA 16001-2842
Mailing address
239 S Eberhart Rd
Butler, PA 16001-2842
Phone (724) 487-4746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 974938 | Other | VA | VIRGINIA ACCIDENT HEALTH PRODUCER |
| 708933 | Other | PA | PENNSYLVANIA ACCIDENT HEALTH LIFE PRODUCER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 708933 | PA | MD | Contractor |
| 974938 | VA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1972053536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 S EBERHART RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012842",
"telephone_number": "724-487-4746",
"fax_number": "815-550-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 S EBERHART RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012842",
"telephone_number": "724-487-4746",
"fax_number": "815-550-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAWTHON",
"first_name": "ROBERT",
"middle_name": "W",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "708933",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "VA",
"license": "974938",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA ACCIDENT HEALTH PRODUCER",
"identifier": "974938",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA ACCIDENT HEALTH LIFE PRODUCER",
"identifier": "708933",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.