JEROME F MCCABE MD NPI 1689655383

NPI Information

NPI: 1689655383
Provider Name: JEROME F MCCABE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
4502 RIVERSIDE LANE
MURRELLS INLET, SC
ZIP 29576
Phone: (843) 421-5455
Get Directions

Jerome F Mccabe, MD is a diagnostic radiology radiology in Murrells Inlet, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jerome F Mccabe, MD NPI is 1689655383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4502 RIVERSIDE LANE
MURRELLS INLET, SC
ZIP 29576-813
Phone: (843) 421-5455

The NPI 1689655383 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 11/9/2005 and was last updated on 6/5/2017.

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	2085R0202X	Radiology	Diagnostic Radiology	21192	SOUTH CAROLINA	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	7717100	MEDICAID	SOUTH DAKOTA
2	CO301152	MEDICARE PIN	COLORADO
3	211924	MEDICAID	SOUTH CAROLINA
4	34195845111518	OTHER		TRICARE WEST
5	2648513	MEDICAID	OHIO
6	H36112	MEDICARE UPIN	SOUTH CAROLINA
7	1016473010001	MEDICAID	PENNSYLVANIA
8	CO301628	MEDICARE PIN	COLORADO
9	P00267423	OTHER	SOUTH CAROLINA	RXR MEDICARE
10	H361128270	MEDICARE PIN	SOUTH CAROLINA
11	P00695833	MEDICARE PIN	COLORADO

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: 5/5/2024

NPI Synchronization or Removal

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