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NPI 1962485045 · live from the CMS NPI Registry

Michael Cackovic, MD

Obstetrics & Gynecology, Maternal & Fetal Medicine in Columbus, OH. National Provider Identifier 1962485045, active.

NPI record

NPI1962485045 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X
Practice location1800 Zollinger Rd Fl 4, Columbus, OH 43221
Practice phone614-293-2222
Mailing address395 W 12th Ave, 5th Floor, Columbus, OH 43210
EnumeratedNovember 22, 2005
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology207V00000X043635 (CT)
Obstetrics & Gynecology, Maternal & Fetal Medicine primary207VM0101X35.099633 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.