DR. JOSE DIEGO CACERES (NPI# 1194087965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194087965 |
Entity Type | Individual |
Full Name | DR. JOSE DIEGO CACERES |
Credential | M.D. |
Practice Address |
4301 W Markham Street Pulmonary and Ccm, Slot 555 Little Rock AR 72205 |
Practice Telephone | 5016865526 |
Practice Fax Number | 5016867893 |
Mailing Telephone | 5016865526 |
Mailing Fax Number | 5016867893 |
Enumeration Date | 2012-06-08 |
Last Update Date | 2019-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | E-11341 | AR | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
E-11341 | AR | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA10100300 | NJ | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
E-11341 | AR | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA10100300 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | DRIVER LICENSE | C00384106406832 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992766604 | Jose Angel Caceres | Internal Medicine | 8585 Knott Ave, #101, Buena Park, CA 90620 | 2006-03-31 |
Street Address |
4301 W MARKHAM STREET PULMONARY AND CCM, SLOT 555 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821570516 | Samira Zannat Chandra | Student in an Organized Health Care Education/Training Program | 4301 W Markham Street, Slot 501, Little Rock, AR 72205 | 2018-08-30 |
1346636735 | Ayoub A. A. Innabi | Student in an Organized Health Care Education/Training Program | 4301 W Markham Street, University of Arkansas for Medical Sciences, Little Rock, AR 72205 | 2015-04-13 |
1831500701 | Berit Bjork | Occupational Therapist | 4301 W Markham Street, #621 Uams, Little Rock, AR 72205 | 2014-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609317429 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr Ste 900, Little Rock, AR 72205-6331 | 2017-03-13 |
1801207857 | Nathan Thomas Hill | Internal Medicine | 5800 W 10th St Ste 610, Little Rock, AR 72204-1761 | 2014-05-13 |
1104981737 | William Lee Mason | Internal Medicine | Pob 1437 Slot H-61, Arkansas Dept of Health, Little Rock, AR 72203-1437 | 2006-12-26 |
1215947825 | Pulmonary Associates Pa | Internal Medicine | 5810 W 10th St, Freeway Medical Center Ste 610, Little Rock, AR 72204 | 2006-08-08 |
1972537090 | Ladly Abraham | Internal Medicine | 5800 W 10th Street, Suite 610 Freeway Medical Center, Little Rock, AR 72204 | 2006-07-11 |
1881135606 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr, Suite 970, Little Rock, AR 72205-6321 | 2017-03-13 |
1053774760 | Hanan Khadam-makhoul, M.d., P.a. | Internal Medicine | 9601 Baptist Health Dr, 560, Little Rock, AR 72205-6321 | 2016-03-30 |
1427413061 | Intensivist Group, LLC | Internal Medicine | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2015-12-28 |
1619222437 | Harmeen Goraya | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2012-07-18 |
1639443823 | Abhishek Kumar | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2012-03-06 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72205 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.