MEDICARE: EDWARD BRIAN CASHMAN D.O.

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	207Q00000X	Family Medicine Physician	2008015357	MO

General Provider Information

NPI Number	:	1770519118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD BRIAN CASHMAN D.O.

Provider Business Mailing Address
First Line	:	2741 NE MCBAIN DR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64064-7880
Country	:	US
Telephone Number	:	816-554-2600
Fax Number	:	816-554-2603

Provider Business Practice Location Address
First Line	:	2741 NE MCBAIN DR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64064-7880
Country	:	US
Telephone Number	:	816-554-2600
Fax Number	:	816-554-2603

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	07/22/2010

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