=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518075878
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH E CAWLEY PA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2006
-----------------------------------------------------
Last Update Date | 09/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1348 SHARON COPLEY RD
-----------------------------------------------------
City | WADSWORTH
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44281-4428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-591-2444
-----------------------------------------------------
Fax | 330-302-1422
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 62
-----------------------------------------------------
City | SHARON CENTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44274-0062
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-401-7302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | 50.002488
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------