MEDICARE: JEAN KATHLEEN GASH

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	363LF0000X	Family Nurse Practitioner	0039639	OH

General Provider Information

NPI Number	:	1942199708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN KATHLEEN GASH

Provider Business Mailing Address
First Line	:	7085 BRIDLEWOOD DR
Second Line	:
City	:	CONCORD TOWNSHIP
State	:	OH
Zip	:	44077-9591
Country	:	US
Telephone Number	:	440-382-1581
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 ORANGE PL STE 2400A
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4478
Country	:	US
Telephone Number	:	216-765-3851
Fax Number	:

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

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	12/26/2025

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Directions to “ JEAN KATHLEEN GASH ” Practice Location

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