Provider Demographics
NPI:1003968876
Name:NG-CADLAON, MARGARET L (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:NG-CADLAON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 MARION PIKE
Mailing Address - Street 2:
Mailing Address - City:COAL GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45638
Mailing Address - Country:US
Mailing Address - Phone:740-532-5400
Mailing Address - Fax:740-532-4042
Practice Address - Street 1:213 MARION PIKE
Practice Address - Street 2:
Practice Address - City:COAL GROVE
Practice Address - State:OH
Practice Address - Zip Code:45638
Practice Address - Country:US
Practice Address - Phone:740-532-5400
Practice Address - Fax:740-532-4042
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH64502208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0911188Medicaid
KY64932056OtherMEDICAID
OH0911188Medicaid