Neurosurgical Associates Cassidy & Guerin, MD, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME0057567 Issued in VA

Legal business name

NEUROSURGICAL ASSOCIATES CASSIDY & GUERIN, MD, PA

Practice address

842 Sunset Lake Blvd
Suite 302
Venice, FL 34292-7552

Phone

(941) 484-3404

Fax

(941) 496-7895

NPI assigned

Jun 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John R Cassidy, M.D.NPI 1518067727

Title

Surgeon

Phone

(941) 484-3404

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Cassidy, M.D.

  • Neurological Surgery Physician
  • Venice, FL
  • NPI 1518067727
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Guerin, M.D.

  • Neurological Surgery Physician
  • Venice, FL
  • NPI 1982704128
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1013954387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 SUNSET LAKE BLVD",
            "address_2": "SUITE 302",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927552",
            "telephone_number": "941-484-3404",
            "fax_number": "941-496-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 SUNSET LAKE BLVD",
            "address_2": "SUITE 302",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927552",
            "telephone_number": "941-484-3404",
            "fax_number": "941-496-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES CASSIDY & GUERIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "941-484-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "ME0057567",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "ME78002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DR CASSIDY",
            "identifier": "952967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "46419",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "10392",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "219802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DR GUERIN",
            "identifier": "2175307",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick William Nelson, O.D.
• Dana M Neri, RPT
• Prapti Neupane
• Neurologic Consultants, PA
• Neurology Associates-Tonya Stephenson, MD LLC
• Joshua M Newman, MD
• Nexxa Medical Devices LLC
• Tracy NG, D.O.
• Hop Nguyen
• Nic 4 Sunset Lake Leasing (Sunset Lake Village)

• Neurological Surgery Physician in Venice, FL
• Providers in Venice, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.