DR. FREDERIC W LAFFERTY


Address: 1611 S Green Rd, #147, South Euclid, OH 44121
Phone: 2163811142

DR. FREDERIC W LAFFERTY (NPI# 1932177359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932177359
Entity Type Individual
Full Name DR. FREDERIC W LAFFERTY
Credential MD
Practice Address 1611 S Green Rd
#147
South Euclid
OH 44121
Practice Telephone 2163811142
Practice Fax Number 2163816459
Mailing Telephone 2163811142
Mailing Fax Number 2163816459
Enumeration Date 2006-03-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
23458 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0090584 05

Office Location

Street Address 1611 S GREEN RD
#147
City SOUTH EUCLID
State OH
Zip Code 44121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154325983 Michael Patrick Varley Ophthalmology 1611 S Green Rd, South Euclid, OH 44121-4129 2005-06-09
1639783467 Regan E Shanahan Physical Therapist 1611 S Green Rd, South Euclid, OH 44121-4129 2020-08-31
1619313970 Nicholas Freeman Volchko Anesthesiology 1611 S Green Rd, South Euclid, OH 44121-4129 2013-05-14
1689910739 The Endoscopy Center At Bainbridge, LLC Clinic/Center 1611 S Green Rd, South Euclid, OH 44121-4129 2012-12-18
1801151477 Ryan Daniel Supler Physical Therapist 1611 S Green Rd, Suite 036, South Euclid, OH 44121-4129 2012-07-10
1750654414 John M Campolieti Physical Therapist 1611 S Green Rd, Suite 036, South Euclid, OH 44121-4129 2012-02-10
1437454477 University Hospitals Medical Group, Inc. Surgery 1611 S Green Rd, Suite 107, South Euclid, OH 44121-4129 2011-01-24
1477858645 Mickie Guarino Newland Physical Therapist 1611 S Green Rd, Suite 036, South Euclid, OH 44121-4129 2011-01-20
1477862571 University Hospitals Medical Group, Inc. Psychiatry & Neurology 1611 S Green Rd, Suite 204, South Euclid, OH 44121-4129 2010-10-07
1932418746 University Hospitals Medical Group, Inc. Urology 1611 S Green Rd, Suite 106, South Euclid, OH 44121-4129 2010-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396213443 Khrystyne Hill Home Health Aide 1396 Villa Dr, South Euclid, OH 44121 2018-11-07
1700369329 An Angels Touch Case Manager/Care Coordinator 4673 Liberty Road, South Euclid, OH 44121 2018-09-10
1336654169 Dawn Marniece Burns Counselor 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 2017-12-01
1154830610 Kamry Wilson Massage Therapist 1915 Temblethurst Rd, South Euclid, OH 44121 2017-09-27
1891210027 Tyrone Sykes Counselor 2940 Noble Rd, Cleveland Hts, OH 44121 2017-08-09
1083140412 Cortney Casey Licensed Practical Nurse 3430 Monticello Blvd, Cleveland Heights, OH 44121 2017-05-04
1821523374 Sharmila Noles Licensed Practical Nurse 818 South Green Rd, 5, South Euclid, OH 44121 2017-04-21
1679018725 Safe Haven Residential Services In Home Supportive Care 2515 Belvoir Rd, Cleveland, OH 44121 2016-12-28
1447702154 Jerry C Mallory Jr. Military Health Care Provider 4018 Bayard 44121, Apo, AA 44121 2016-10-28
1215388129 Rose-mary, The Johanna Grasselli Rehabilitation and Education Center Intermediate Care Facility, Mentally Retarded 4383 Ammon Road, South Euclid, OH 44121 2016-06-22
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376556654 Adrian Michael Schnall Internal Medicine 1611 S Green Rd Ste 065, South Euclid, OH 44121-4128 2006-08-15
1851524540 Fred W Lafferty Md, Inc Internal Medicine 1611 S Green Rd, Suite 147, South Euclid, OH 44121-4128 2009-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376161406 Marsal Patient Care and Wellness, LLC Internal Medicine 225 E State Route 14 Ste 102, Columbiana, OH 44408-8490 2020-07-06
1891296562 Mohammad Shalabe Internal Medicine 2100 W Central Ave Ste 200, Toledo, OH 43606-3817 2018-02-27
1003295502 Walter Blair Geho Internal Medicine 533 Beechwood Street, Wooster, OH 44691 2015-05-29
1104224757 Rossana Danese Internal Medicine 36321 Oakview Ln, Avon, OH 44011-2275 2014-12-15
1720493190 Yuanjie Mao Internal Medicine 75 Hospital Dr Ste 200, Athens, OH 45701-2859 2014-06-24
1518398866 Central Ohio Primary Care Physicians Inc Internal Medicine 570 Polaris Pkwy, 250, Westerville, OH 43082-7900 2013-12-11
1982035978 Janice Douglas Internal Medicine 41 Haskell Dr, Bratenahl, OH 44108-1169 2013-12-02
1831531052 Carmen Polanco Santos Internal Medicine 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 2013-07-30
1437599958 Saira Varghese Mammen Internal Medicine 16761 Saint Clair Ave # 2, East Liverpool, OH 43920-9400 2013-06-28
1437410982 Summa Physicians Inc. Internal Medicine 1 Park West Blvd Ste 350, Akron, OH 44320-4226 2012-05-31
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Competitor

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City SOUTH EUCLID
Zip Code 44121

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Dataset Information

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.

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