MEDICARE: DAVID J. CAHILL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD032108E	PA
2	208000000X	Pediatrics Physician	35.073461	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083606297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J. CAHILL M.D.

Provider Business Mailing Address
First Line	:	400 N MARKET ST
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-1014
Country	:	US
Telephone Number	:	330-424-9866
Fax Number	:	330-424-7689

Provider Business Practice Location Address
First Line	:	400 N MARKET ST
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-1014
Country	:	US
Telephone Number	:	330-424-9866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	02/12/2022

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Directions to “ DAVID J. CAHILL M.D.” Practice Location

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