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NPI Code Detail

MEDICARE: DR. CASSANDRA HEISELMAN DO, MPH

MEDICARE: DR. CASSANDRA HEISELMAN DO, MPH
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
1207V00000XObstetrics & Gynecology Physician34.018271OH
2207VM0101XMaternal & Fetal Medicine Physician34.018271OH

General Provider Information

NPI Number : 1467870832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CASSANDRA HEISELMAN DO, MPH
Provider Business Mailing Address
First Line : 342 S MILLER RD
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-4117
Country : US
Telephone Number : 330-962-5969
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 01/12/2026

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