JAMES A. CACCITOLO


Address: 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015
Phone: 9036067525

JAMES A. CACCITOLO (NPI# 1528074317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528074317
Entity Type Individual
Full Name JAMES A. CACCITOLO
Credential MD
Practice Address 703 S Fleishel Ave
Ste 5000
Tyler
TX 75701-2015
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Practice Telephone 9036067525
Mailing Telephone 9033246450
Enumeration Date 2006-07-31
Last Update Date 2014-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology 		L7997 TX Allopathic & Osteopathic Physicians
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) L7997 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 165486503 05
TX BCBS OF TEXAS 88869G 01
TX TRICARE TIN PLUS 049 01
TX SUPERIOR CHIPS 121217 01
TX TRICARE TIN PLUS 039 01

Office Location

Street Address 703 S FLEISHEL AVE
STE 5000
City TYLER
State TX
Zip Code 75701-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467444141 Thomas R Scholler Physician Assistant 703 S Fleishel Ave, Tyler, TX 75701-2015 2005-08-18
1922641299 Marcus Evans Nurse Practitioner 703 S Fleishel Ave, Tyler, TX 75701-2015 2019-10-19
1144771288 Toby C Silvertooth Nurse Practitioner 703 S Fleishel Ave, Ste. 4000, Tyler, TX 75701-2015 2016-10-24
1649721366 Max T Tijerino Physician Assistant 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2016-10-18
1356892277 Christus Trinity Clinic - Cardiology Clinic/Center 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 2016-10-14
1891245734 Rene Richter General Acute Care Hospital 703 S Fleishel Ave, Suite 5000, Tyler, TX 75701-2015 2016-10-04
1578915633 Brandi L Holcomb Nurse Practitioner 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2016-07-12
1629454160 Jessica King Tidwell Nurse Practitioner 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2015-08-06
1093030934 Ramon Kumar Internal Medicine 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 2010-04-04
1639344310 Sheldon Ygnacio Freeberg Internal Medicine 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 2008-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417055005 Surgical Associates of East Texas, LLP Thoracic Surgery (Cardiothoracic Vascular Surgery) 704 S Fleishel Ave, Tyler, TX 75701-2014 2006-09-20
1700899853 Turner Cardiovascular Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) 1100 E Lake St Ste 101, Tyler, TX 75701-3343 2006-08-13
1194735613 Herbert D Short IIi Thoracic Surgery (Cardiothoracic Vascular Surgery) 910 East Houston, Ste 530, Tyler, TX 75702-8366 2006-08-08
1164497871 Wendell S Phillips Thoracic Surgery (Cardiothoracic Vascular Surgery) 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701-1952 2006-02-17
1003070483 Andrea C Cooley Thoracic Surgery (Cardiothoracic Vascular Surgery) 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701-1952 2008-07-15
1245338748 Charles H. Lee Thoracic Surgery (Cardiothoracic Vascular Surgery) 1000 E 5th St Ste 400, Tyler, TX 75701-3362 2006-09-20
1598789117 Neelan S Doolabh Thoracic Surgery (Cardiothoracic Vascular Surgery) 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2006-07-27
1790799856 William F Turner Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952915894 Branislav Stojkovic Thoracic Surgery (Cardiothoracic Vascular Surgery) 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 2020-09-08
1093349946 Lawrence R Hamner IIi Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 2020-03-01
1275173379 Houston Cardiothoracic and Vein Surgeons, Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 2020-01-07
1861962003 Brownsville Surgery, Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 2018-11-30
1326523077 Southeast Texas Cardiac LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 2018-09-28
1982119061 Elite Heart, Lung, and Vein Surgeons Thoracic Surgery (Cardiothoracic Vascular Surgery) 2406 Ellis Park Ln, Conroe, TX 77304-2938 2017-12-11
1376076869 Kitten Cardiovascular Associates Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 2017-04-11
1003360116 William E Wallace Do Thoracic Surgery (Cardiothoracic Vascular Surgery) 6007 Hillbrook Dr, Colleyville, TX 76034-5323 2016-08-05
1104284959 Lm Duvall Enterprises Thoracic Surgery (Cardiothoracic Vascular Surgery) 41922 N Mill Dr, Magnolia, TX 77354-1850 2016-02-08
1457734618 John Kirchmer Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 2195 Thomas Rd, Beaumont, TX 77706-2837 2015-07-07
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City TYLER
Zip Code 75701

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Dataset Information

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.

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