Individual provider Active NPI

Robert W Cawthon Jr.

  • Contractor
  • Butler, PA
National Provider Identifier
1972053536
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
708933 Issued in PA
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

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
974938OtherVAVIRGINIA ACCIDENT HEALTH PRODUCER
708933OtherPAPENNSYLVANIA 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

LicenseStateTypeSpecialty
708933PAMDContractor
974938VAMDContractor

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.

Verify at the official NPI Registry.