Healthcare Provider Details

I. General information

NPI: 1174452270
Provider Name (Legal Business Name): STEPHEN MICHAEL CAHILL FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3287 FARMHOUSE LN
GROVE CITY OH
43123-9828
US

IV. Provider business mailing address

3287 FARMHOUSE LN
GROVE CITY OH
43123-9828
US

V. Phone/Fax

Practice location:
  • Phone: 740-851-9821
  • Fax:
Mailing address:
  • Phone: 740-851-9821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP.0041828
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: