Provider Demographics
NPI:1154365328
Name:MCCABE, JAMES M (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4110 ASPEN HILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2853
Mailing Address - Country:US
Mailing Address - Phone:301-438-5150
Mailing Address - Fax:301-460-0199
Practice Address - Street 1:18103 PRINCE PHILIP DR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1514
Practice Address - Country:US
Practice Address - Phone:301-924-4625
Practice Address - Fax:301-570-3513
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00313282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007208791Medicaid
VA010074801Medicaid
DC025876600Medicaid
VA007209479Medicaid
VA010074754Medicaid
VA010072166Medicaid
VA010074690Medicaid
VA007203551Medicaid
VA007603355Medicaid
VA070074771Medicaid
MD442941900Medicaid
VA010074827Medicaid
MD442941900Medicaid
VA980MJ666Medicare ID - Type UnspecifiedFREDERICK
VA010074690Medicaid
VA007203551Medicaid
VA007208791Medicaid