DR. MARCO ANTONIO CACERES SR. (NPI# 1679778005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679778005 |
| Entity Type | Individual |
| Full Name | DR. MARCO ANTONIO CACERES SR. |
| Credential | MD |
| Practice Address |
244 Smith Church Rd Roanoke Rapids NC 27870-4956 |
| Mailing Address |
110 Walter Ave Roanoke Rapids NC 27870-1609 |
| Practice Telephone | 2525352350 |
| Mailing Telephone | 2525377084 |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
19676 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8920639 | 05 |
| Street Address |
244 SMITH CHURCH RD |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002979 | Peter Muller | Surgery | 244 Smith Church Rd, Building 5, Roanoke Rapids, NC 27870-4956 | 2005-09-07 |
| 1528439924 | Halifax Psychiatry | Psychiatry & Neurology | 244 Smith Church Rd, Suite C, Roanoke Rapids, NC 27870-4956 | 2015-10-12 |
| 1235432394 | Roanoke Valley Health Services Inc | Internal Medicine | 244 Smith Church Rd, Suite D, Roanoke Rapids, NC 27870-4900 | 2010-12-13 |
| 1477690089 | George Thomas Jackson Jr. | Nurse Anesthetist, Certified Registered | 244 Smith Church Rd, Roanoke Rapids, NC 27870-4956 | 2007-01-31 |
| 1861553927 | Roanoke Valley Health Services | Orthopaedic Surgery | 244 Smith Church Rd, Roanoke Rapids, NC 27870-4956 | 2006-12-13 |
| 1922083443 | Rory Vincent O'connor | Internal Medicine | 244 Smith Church Rd, Bldg 5, Medical Plaza, Roanoke Rapids, NC 27870-4956 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942445762 | Carolina Wound Care Specialists, Pllc | Preventive Medicine | 101 Nash Medical Arts Mall, Rocky Mount, NC 27804-1400 | 2008-12-08 |
| 1023030004 | Florias Andrew Morfesis | Preventive Medicine | 513 Owen Dr, Fayetteville, NC 28304 | 2006-07-25 |
| 1023009321 | James A. Watkins | Preventive Medicine | 1601 Abbey Pl, Ste. 105, Charlotte, NC 28209-3835 | 2005-11-04 |
| 1013913276 | Daniel M Hagan | Preventive Medicine | 3701 Henderson Dr, Jacksonville, NC 28546-5237 | 2005-06-22 |
| 1982203618 | Nirvana Hyperbaric LLC | Preventive Medicine | 146 Medical Park Road, Suite 110, Mooresville, NC 28117 | 2020-10-23 |
| 1841792538 | North Carolina Hyperbarics, LLC | Preventive Medicine | 3035 Boone Trail Ext Ste A, Fayetteville, NC 28304-3860 | 2018-03-08 |
| 1033537915 | Dlp Rutherford Regional Health System, LLC | Preventive Medicine | 112 Sparks Dr, Forest City, NC 28043-9021 | 2014-03-28 |
| 1952677999 | Rutherford Hospital Inc | Preventive Medicine | 112 Sparks Dr, Forest City, NC 28043-9021 | 2012-03-23 |
| 1811274699 | Christopher E. Geertz, Md LLC | Preventive Medicine | 1501 Tate Blvd Se, Ste 105, Hickory, NC 28602-1384 | 2011-11-08 |
| 1689958738 | Lloyd Smith Md Pllc | Preventive Medicine | 2700 Wayne Memorial Dr, Wound Care Clinic, Goldsboro, NC 27534-9494 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
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| 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.