MEDICARE: DR. JAMES DOUGLAS KASTEN 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	207V00000X	Obstetrics & Gynecology Physician	35047963	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	:	1649264128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DOUGLAS KASTEN M.D.

Provider Business Mailing Address
First Line	:	278 BENEDICT AVE
Second Line	:	SUITE 500
City	:	NORWALK
State	:	OH
Zip	:	44857-2399
Country	:	US
Telephone Number	:	419-668-2686
Fax Number	:	419-663-6637

Provider Business Practice Location Address
First Line	:	278 BENEDICT AVE
Second Line	:	SUITE 500
City	:	NORWALK
State	:	OH
Zip	:	44857-2399
Country	:	US
Telephone Number	:	419-668-2686
Fax Number	:	419-663-6637

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

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	06/19/2019

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