MEDICARE: GENEVIEVE MCCASLIN CNM

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	176B00000X	Midwife	NM01106	OH

General Provider Information

NPI Number	:	1780783357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE MCCASLIN CNM

Provider Business Mailing Address
First Line	:	6900 PEARL RD STE 300
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3640
Country	:	US
Telephone Number	:	440-884-9000
Fax Number	:	440-884-4929

Provider Business Practice Location Address
First Line	:	6900 PEARL RD.
Second Line	:	STE.300
City	:	MIDDLEBURG HTS.
State	:	OH
Zip	:	44130-3640
Country	:	US
Telephone Number	:	440-884-9000
Fax Number	:	440-884-4929

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	03/22/2022

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