MEDICARE: DR. JEFFREY HALE CAUFIELD

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	207P00000X	Emergency Medicine Physician	35042164	OH

General Provider Information

NPI Number	:	1336427020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY HALE CAUFIELD

Provider Business Mailing Address
First Line	:	34520 JACKSON RD
Second Line	:
City	:	MORELAND HILLS
State	:	OH
Zip	:	44022-1974
Country	:	US
Telephone Number	:	440-247-5056
Fax Number	:

Provider Business Practice Location Address
First Line	:	34520 JACKSON RD
Second Line	:
City	:	MORELAND HILLS
State	:	OH
Zip	:	44022-1974
Country	:	US
Telephone Number	:	440-247-5056
Fax Number	:

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

Provider Enumeration Date	:	07/28/2011
Last Update Date	:	07/28/2011

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