DR. EDWARD T. MCCAFFREY (NPI# 1043206121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043206121 |
| Entity Type | Individual |
| Full Name | DR. EDWARD T. MCCAFFREY |
| Credential | DPM |
| Practice Address |
1717 Sw H K Dodgen Loop Temple TX 76502-1838 |
| Mailing Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Practice Telephone | 2542982682 |
| Practice Fax Number | 2547787197 |
| Mailing Telephone | 2542982682 |
| Mailing Fax Number | 2547787197 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0584 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121556801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073827069 | Edward Mccaffrey | Counselor | 55 Federal St, Greenfield, MA 01301-2546 | 2010-08-02 |
| Street Address |
1717 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326442195 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Suite 103, Temple, TX 76502-1838 | 2014-10-22 |
| 1174953467 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2013-11-22 |
| 1851577282 | Shelley Mullen Howell D.o., Pa | Clinic/Center | 1717 Sw H K Dodgen Loop, Suite 114b, Temple, TX 76502-1838 | 2008-01-16 |
| 1801012257 | Physicians of King's Daughters, Pa | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2007-04-17 |
| 1194750109 | Physicians of King's Daughters, P.a. | Ophthalmology | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2006-07-11 |
| 1295710028 | John M. Balbo | Audiologist | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2005-12-14 |
| 1902881550 | John V Elwood | Psychologist | 1717 Sw H K Dodgen Loop, Suite 110, Temple, TX 76502-1838 | 2005-12-07 |
| 1790771715 | Richard T. Tay | Internal Medicine | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689027054 | Blake Peterson | Podiatrist | 8130 Hawthorn, Temple, TX 76502 | 2016-07-20 |
| 1457455446 | Stephen Vincent Moss | Podiatrist | 4006 Deer Trl, Temple, TX 76504-3616 | 2006-09-11 |
| 1932129178 | Brian S Klee | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560-1900 | 2006-07-20 |
| 1568725893 | Tyler Virgil Jolley | Podiatrist | 2401 S 31st St, Office of Podiatry, Temple, TX 76508-0001 | 2012-06-21 |
| 1912260563 | Laura Escobedo | Podiatrist | 2401 S 31st St, Temple, TX 76508-0001 | 2012-06-19 |
| 1326300492 | Demencio Isaac Bazan | Podiatrist | 2401 S 31st St, Temple, TX 76508-0001 | 2012-06-13 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1518976547 | Naohiro Shibuya | Podiatrist | 2401 S 31st St, Temple, TX 76508-0001 | 2006-08-07 |
| 1740241926 | Donald Matthew Lynch | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2006-03-29 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.