Organization Active NPI

Stephen P. Cafferty, D.O. & Associates,LLC

  • Family Medicine Physician
  • Great Mills, MD
National Provider Identifier
1962671743
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0037228 Issued in MD
Legal business name
STEPHEN P. CAFFERTY, D.O. & ASSOCIATES,LLC
Practice address
22333 Greenview Pkwy
Unit 5a
Great Mills, MD 20634-4407
Phone
(301) 737-7885
Fax
(301) 862-9882
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Patrick Cafferty, D.O.
Title
Ceo/Physician
Phone
(301) 737-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0037228 MD Primary

Addresses

Primary practice location

22333 Greenview Pkwy
Unit 5a
Great Mills, MD 20634-4407

Mailing address

22333 Greenview Pkwy
Unit 5a
Great Mills, MD 20634-4407
Phone (301) 737-7885

Other identifiers 1

IdentifierTypeStateIssuer
1982692935OtherMDINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

22333 Greenview Pkwy
Unit 5A
Great Mills, MD 20634
Phone (301) 437-7885

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1962671743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22333 GREENVIEW PKWY",
            "address_2": "UNIT 5A",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206344407",
            "telephone_number": "301-737-7885",
            "fax_number": "301-862-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22333 GREENVIEW PKWY",
            "address_2": "UNIT 5A",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206344407",
            "telephone_number": "301-737-7885",
            "fax_number": "301-862-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P. CAFFERTY, D.O. & ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "CAFFERTY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "301-737-7885",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0037228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1982692935",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.