Healthcare Provider Details

I. General information

NPI: 1437465507
Provider Name (Legal Business Name): FRANCIS L. MCCAFFERTY, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31314 CENTER RIDGE RD
WESTLAKE OH
44145-5032
US

IV. Provider business mailing address

31314 CENTER RIDGE RD
WESTLAKE OH
44145-5032
US

V. Phone/Fax

Practice location:
  • Phone: 440-835-3892
  • Fax: 440-835-8466
Mailing address:
  • Phone: 440-835-3892
  • Fax: 440-835-8466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number34025436
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number34025436
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number34025436
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number34025436
License Number StateOH

VIII. Authorized Official

Name: FRANCIS L MCCAFFERTY
Title or Position: OWNER
Credential: M.D.
Phone: 440-835-3892