Individual
MARCEL JOSEPH CASAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35063294
OH
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
35063294
OH
208000000X
Pediatrics Physician
35063294
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35063294
OH
2080T0002X
Pediatric Medical Toxicology Physician
35063294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845402
CGS-MEDICARE
OH
05
—
0893225
—
OH
05
—
6495176700
—
KY
Enumeration date
07/20/2005
Last updated
02/22/2022
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