MARK DANIEL CAGLE PA-C NPI 1255950127

NPI Information

NPI: 1255950127
Provider Name: MARK DANIEL CAGLE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5140 E THOMAS RD
PHOENIX, AZ
ZIP 85018
Phone: (602) 207-8400
Get Directions

Mark Daniel Cagle, PA-C is a medical physician assistant in Phoenix, AZ with 4 years of experience. Mark Daniel Cagle, PA-C NPI is 1255950127. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5140 E THOMAS RD
PHOENIX, AZ
ZIP 85018-915
Phone: (602) 207-8400
Fax: (602) 535-3166

The NPI 1255950127 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2020 and was last updated on 9/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		8078	ARIZONA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			ARIZONA	No
3	363AM0700X	Physician Assistant	Medical	8078	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8078	OTHER	ARIZONA	PHYSICIAN ASSISTANT BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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