DR. CHARLES ANTHONY CAVALLO MD - NPI 1174733521

Q: What is Charles Cavallo's NPI number?

The NPI number for Charles Cavallo is 1174733521. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Charles Cavallo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Cavallo was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Charles Anthony Cavallo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES ANTHONY CAVALLO MD (NPI 1174733521) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (036041159) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1174733521

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. CHARLES ANTHONY CAVALLOCredential: MD

Location Address3132 OLD JACKSONVILLE RD STE 110Springfield, IL 62704-7401

Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021

Phone(217) 588-2600

Fax(217) 862-0904

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateJune 24, 2020

NPPES CertifiedJune 24, 2020

✔ NPI 1174733521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IL · 036041159✔ Licensed in NY · 258002

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 258002 (NY), 036-041159 (IL)

Also ListedInternal MedicineTaxonomy 207R00000X · License 036041159 (IL)

3132 OLD JACKSONVILLE RD STE 110, Springfield, IL 62704

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