Healthcare Provider Details

I. General information

NPI: 1164694758
Provider Name (Legal Business Name): ISRAEL JAMES CAJIGAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 W LORAIN ST
OBERLIN OH
44074-1027
US

IV. Provider business mailing address

1957 COOPER FOSTER PARK RD
AMHERST OH
44001-1207
US

V. Phone/Fax

Practice location:
  • Phone: 440-775-1881
  • Fax: 440-774-5707
Mailing address:
  • Phone: 440-989-3801
  • Fax: 440-960-0264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.092267
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57-010446
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: