Cassidy Sean Ford, PA-C
Individual provider Active NPI Physician Assistant · Black Mountain, NC
NPI 1053979955 · NPPES record last updated Nov 25, 2019
Key facts
- NPI
- 1053979955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-09122 (NC)
- Practice address
- 15 Jane Jacobs Rd
Black Mountain, NC 28711-6306 - Phone
- (828) 298-0333
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190821002558 | NC | Practitioner - Physician Assistant | 0547598013 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Family Physicians PA | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-09122 | NC | Yes |
Addresses
Primary practice location
15 Jane Jacobs Rd
Black Mountain, NC 28711-6306
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616
Other practice location 1
333 Gashes Creek Rd
Asheville, NC 28803-9405
Phone (828) 298-0333
Other providers in Black Mountain, NC
- Emily Fink-Hanks
- Michael Francis Fiore
- Fletcher Hospital Inc
- Douglas Bryce Flora
- Hope Elizabeth Fontaine
- Brenda Cheryl Fore
- Judy O'Neal Fore
- Hunter Foreman
- Jesse Foreman
- Meredith Suzanne Fowler
All providers in Black Mountain, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.