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Export Provider Record NPI 1053694851
Douglas E MccaffertyPA
Active
NPI Number1053694851
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1053694851
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2011-09-28
Last Updated2022-01-18
Mailing Address3170 Kettering Blvd, Building B 3rd Floor
Moraine, OH 45439-1924
United States
Phone: (937) 991-3188 | Fax: (937) 223-9811
📍 View Map
Primary Practice Address9000 N Main St, Ste 227
Dayton, OH 45415-1180
United States
Phone: (937) 832-4773 | Fax: (937) 832-2986
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH0067821
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantOH50.00618
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About NPI 1053694851

Douglas E Mccafferty PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053694851. The primary specialty listed is Physician Assistant. The provider is located in Dayton, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-09-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053694851?

NPI 1053694851 belongs to Douglas E Mccafferty PA, a Physician Assistant in Dayton, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053694851 active?

The current status of NPI 1053694851 in the NPPES registry is Active. The record was last updated on 2022-01-18.

What specialty is NPI 1053694851?

NPI 1053694851 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053694851?

You can verify NPI 1053694851 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053694851?

The primary practice address on file for NPI 1053694851 is 9000 N Main St, Dayton, OH 45415-1180. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053694851 issued?

NPI 1053694851 was first issued (enumerated) on 2011-09-28. The NPPES record was last updated on 2022-01-18.

Practice Location Map

Douglas E Mccafferty is located at 9000 N Main St, Dayton, OH. Use the map below to find directions or verify the practice location.

📍 9000 N Main St, Dayton, OH 45415-1180  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Douglas E Mccafferty. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053694851. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant50.00618OH
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162