MEDICARE: CEFERINO J. CATA MD

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
1	207RC0000X	Cardiovascular Disease Physician	35.059164	OH
2	207RI0011X	Interventional Cardiology Physician	35.059164	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	060023618	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306815808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CEFERINO J. CATA MD

Provider Business Mailing Address
First Line	:	3535 PENTAGON BLVD STE 300
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-1705
Country	:	US
Telephone Number	:	937-757-9449
Fax Number	:	937-702-4944

Provider Business Practice Location Address
First Line	:	3535 PENTAGON BLVD STE 330
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-1705
Country	:	US
Telephone Number	:	937-757-9449
Fax Number	:	937-702-4944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	11/24/2020

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Directions to “ CEFERINO J. CATA MD” Practice Location

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