Healthcare Provider Details

I. General information

NPI: 1003109927
Provider Name (Legal Business Name): MATTHEW JOHN CAVO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 MIAMI VALLEY DR SUITE 310
CENTERVILLE OH
45459-4778
US

IV. Provider business mailing address

2361 LAKEVIEW DR
BEAVERCREEK OH
45431-3695
US

V. Phone/Fax

Practice location:
  • Phone: 937-435-4263
  • Fax: 937-298-9459
Mailing address:
  • Phone: 937-949-8457
  • Fax: 937-949-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number35.128745
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: