Basic Information
| Provider Information | |||||||||
| NPI: | 1003016205 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASH | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | DANIEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1950 NILES CORTLAND RD NE STE 4 | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 444841077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308562545 | ||||||||
| FaxNumber: | 3308562542 | ||||||||
| Practice Location | |||||||||
| Address1: | 1950 NILES CORTLAND RD NE STE 4 | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 444841077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308562545 | ||||||||
| FaxNumber: | 3308652542 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2007 | ||||||||
| LastUpdateDate: | 02/20/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2082S0105X | 35.099394 | OH | Y | Allopathic & Osteopathic Physicians | Plastic Surgery | Surgery of the Hand | 208200000X | 35.0993394 | OH | N | Allopathic & Osteopathic Physicians | Plastic Surgery |
ID Information
| ID | Type | State | Issuer | Description | H176580 | 01 | OH | MEDICARE PTAN | OTHER | 0071182 | 05 | OH | MEDICAID |