Healthcare Provider Details

I. General information

NPI: 1740974971
Provider Name (Legal Business Name): ALLISON CATHERINE MCSHERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 PLEASANTVILLE RD STE 101
LANCASTER OH
43130-3325
US

IV. Provider business mailing address

5401 GOLDEN CASCADE DR
DUBLIN OH
43016-9683
US

V. Phone/Fax

Practice location:
  • Phone: 740-653-7511
  • Fax: 740-653-7512
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.008297RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: