Healthcare Provider Details

I. General information

NPI: 1801942123
Provider Name (Legal Business Name): JAMES FRANCIS CAGGIANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 W BROAD ST
HAZLETON PA
18201-6108
US

IV. Provider business mailing address

PO BOX 783311
PHILADELPHIA PA
19178-3311
US

V. Phone/Fax

Practice location:
  • Phone: 570-501-6400
  • Fax: 570-453-2353
Mailing address:
  • Phone: 484-884-4500
  • Fax: 484-884-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-012833-E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier558815
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA
# 2
Identifier000727998-0008
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 3
Identifier0007279980006
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 4
Identifier28676
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGEISINGER HEALTH PLAN
# 5
IdentifierP323778
Identifier TypeOTHER
Identifier State
Identifier IssuerOXFORD
# 6
Identifier003003
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerFIRST PRIORITY HEALTH
# 7
Identifier037189
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE CROSS BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: