Michael Caffery, MD
Individual provider Active NPI Pediatrics Physician · Kenner, LA
NPI 1306377585 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1306377585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 323036 (LA)
- Practice address
- 3715 Williams Blvd
Kenner, LA 70065-3075 - Phone
- (504) 468-4437
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323036 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marillac Community Health Centers | Past | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients | |
| Touro Infirmary | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 323036 | LA | Yes |
Addresses
Primary practice location
3715 Williams Blvd
Kenner, LA 70065-3075
Mailing address
2111 A S Gayoso St.
New Orleans, LA 70125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2440870 | Medicaid | LA |
Other providers in Kenner, LA
- Olivia Catherine Burns
- Aimee J Bustamante
- Roseland Jarrow Butler
- Tyria M Butler
- Victoria Cade
- Megan J Cahalin
- Roland Antoine Caire Jr.
- April Denice Calahan
- Ana Caldcleugh
- Terri L. Campesta
All providers in Kenner, LA · Pediatrics Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.