Healthcare Provider Details
I. General information
NPI: 1104280791
Provider Name (Legal Business Name): SARAH WEISKITTEL CAHILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2016
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10500 MONTGOMERY RD
CINCINNATI OH
45242
US
IV. Provider business mailing address
4685 FOREST AVE
CINCINNATI OH
45212-3397
US
V. Phone/Fax
- Phone: 513-862-1111
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 57.027834 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35.136376 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 35.136376 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: