Healthcare Provider Details

I. General information

NPI: 1619405842
Provider Name (Legal Business Name): LISA JENKINS CAHILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 ASPEN LANE
POLAND OH
44514
US

IV. Provider business mailing address

1300 ASPEN LN
POLAND OH
44514-3294
US

V. Phone/Fax

Practice location:
  • Phone: 412-496-4372
  • Fax:
Mailing address:
  • Phone: 412-496-4372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.141606
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: