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NPI Code Detail

MEDICARE: DAVID SCOTT MCCAFFREY M.D.

MEDICARE: DAVID SCOTT MCCAFFREY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine PhysicianMD5473HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100E002451-2OTHERHIHMSA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871534321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCOTT MCCAFFREY M.D.
Provider Business Mailing Address
First Line : 91-2135 FORT WEAVER RD
Second Line : SUITE 170
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-676-5331
Fax Number : 808-671-2931
Provider Business Practice Location Address
First Line : 91-2135 FORT WEAVER RD
Second Line : SUITE 170
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-676-5331
Fax Number : 808-671-2931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 04/08/2008

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