MARK N CASDORPH (D.O.) – Child & Adolescent Psychiatry Physician, NPI 1104870955

MARK N CASDORPH (D.O.) is a healthcare provider. based in Moraine, Ohio. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials D.O.. They hold a License No. 1322 (WV). The NPI Number for MARK N CASDORPH (D.O.) is 1104870955

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK N CASDORPH (D.O.)
NPI
1104870955
Phone
(937) 991-3188
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
19 May 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9374407626
Graduation Year
1990 (36 years ago)
PAC ID
7315965209
Group Practice PAC ID
8921022260
Professional Enrollment ID
I20180412002986
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for MARK N CASDORPH (D.O.)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • 3375 US RT 60 E

    Huntington, WV 257052837

    Phone: (304) 525-7851

    Fax: (304) 586-0671

    Type: Location

  • County Road, Troy, Wallowa County, Oregon, United States

    TROY, OH 453731337

    Phone: (937) 440-7305

    Fax: (937) 440-7702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921022260View full group profile
NameSpecialtyState
CHRISTINE L ASHER (PMHNP-BC)
Nurse PractitionerOH
DR. JOHN FRANCIS BARRORD (M.D.)
-OH
SAMEEP P. KADAKIA (MD)
O T O L A R Y N G O L O G YOH
DR. DANIEL JORGE QUINONES (MD)
Orthopedic SurgeryOH
DUSTIN JONES (D.O.)
O T O L A R Y N G O L O G YOH
MALLORY SUE MERCER (AU.D.)
Qualified AudiologistOH
DR. KATE WILLIAMSON LINS (AUD)
Qualified AudiologistOH
ZACHARY LEE SIMMONS (MD)
General SurgeryOH
DR. KUHURANI AHMAD HUSSAIN (M.D.)
-OH
MRS. ALISON H BAILEY (AU.D.)
-OH

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Frequently asked questions

What NPI should I save for MARK N CASDORPH (D.O.)?
Save NPI 1104870955 if you need a stable reference for MARK N CASDORPH (D.O.).
Is MARK N CASDORPH (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARK N CASDORPH (D.O.)?
The page reflects Child & Adolescent Psychiatry Physician for MARK N CASDORPH (D.O.). Clinical services aligned with this taxonomy classification.
Where is MARK N CASDORPH (D.O.)'s primary listing?
We display Moraine, Ohio because that is what the record indicates for MARK N CASDORPH (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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