Provider Demographics
NPI:1780783357
Name:MCCASLIN, GENEVIEVE (CNM)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:MCCASLIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 PEARL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3640
Mailing Address - Country:US
Mailing Address - Phone:440-884-9000
Mailing Address - Fax:440-884-4929
Practice Address - Street 1:6900 PEARL RD.
Practice Address - Street 2:STE.300
Practice Address - City:MIDDLEBURG HTS.
Practice Address - State:OH
Practice Address - Zip Code:44130-3640
Practice Address - Country:US
Practice Address - Phone:440-884-9000
Practice Address - Fax:440-884-4929
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNM01106176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMCNP01381Medicare ID - Type Unspecified
S50292Medicare UPIN