Individual
DR. JOHN MICHAEL MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
(336) 277-2050
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9901253
NC
207U00000X
Nuclear Medicine Physician
9901253
NC
207UN0901X
Nuclear Cardiology Physician
9901253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060054187
RAILROAD MEDICARE
NC
01
—
12391
BCNC
NC
01
—
216692
MAMSI
NC
01
—
2279772A
FMC PROVIDER NUMBER
NC
01
—
2279772B
MPH PROVIDER NUMBER
NC
01
—
2508100
UNITED HEALTH CARE
NC
01
—
34971
PARTNERS MEDICARE
NC
01
—
4939934001
CIGNA
NC
01
—
7467098
AETNA
NC
05
—
8912391
—
NC
01
—
91740
MEDCOST
NC
01
—
P00654532
RAILROAD MEDICARE
NC
Enumeration date
05/01/2006
Last updated
10/25/2020
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