MEDICARE: DR. CASSANDRA HEISELMAN DO, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	34.018271	OH
2	207VM0101X	Maternal & Fetal Medicine Physician	34.018271	OH

General Provider Information

NPI Number	:	1467870832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASSANDRA HEISELMAN DO, MPH

Provider Business Mailing Address
First Line	:	1 AKRON GENERAL AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	800-223-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	03/02/2026

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