Organization Active NPI

Robert E Cassidy MD PC

  • Medical Specialty Clinic/Center
  • Martinsville, VA
National Provider Identifier
1083810501
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0101053359 Issued in VA
Legal business name
ROBERT E CASSIDY MD PC
Practice address
332 Jefferson Davis Dr
Martinsville, VA 24112-0379
Phone
(336) 623-4545
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mrs. Lou Roland
Title
Account Specialist
Phone
(336) 623-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0101053359 VA Primary

Addresses

Primary practice location

332 Jefferson Davis Dr
Martinsville, VA 24112-0379

Mailing address

332 Jefferson Davis Dr
Martinsville, VA 24112-0379
Phone (336) 623-4545

National Provider Directory

National Provider Directory

Locations

1 Dudley St
Martinsville, VA 24112
Phone (276) 638-5128

835 Woodland Dr
Ste 101
Stuart, VA 24171
Phone (276) 694-3410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1083810501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 JEFFERSON DAVIS DR",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241120379",
            "telephone_number": "336-623-4545",
            "fax_number": "206-333-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 JEFFERSON DAVIS DR",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241120379",
            "telephone_number": "336-623-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E CASSIDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "336-623-4545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101053359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.