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1992704019

NPI Code Detail

MEDICARE: MARCEL JOSEPH CASAVANT MD

MEDICARE: MARCEL JOSEPH CASAVANT MD

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	35063294	OH
2	208000000X	Pediatrics Physician	35063294	OH
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	35063294	OH
4	2080T0002X	Pediatric Medical Toxicology Physician	35063294	OH
5	207PT0002X	Medical Toxicology (Emergency Medicine) Physician	35063294	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0845402	OTHER	OH	CGS-MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992704019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCEL JOSEPH CASAVANT MD

Provider Business Mailing Address
First Line	:	700 CHILDRENS DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2664
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 S 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2654
Country	:	US
Telephone Number	:	614-722-6200
Fax Number	:

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	02/22/2022

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Directions to “ MARCEL JOSEPH CASAVANT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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