Active NPI
John W Cassidy, M.D.
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- License
- H3450
- Practice address
- 1 Riverway
Suite 600
Houston, TX 77056-1920 - Phone
- (713) 355-6111
- Fax
- (713) 355-6822
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | H3450 | TX | |
| Neurology Physician | 2084N0400X | H3450 | TX | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | H3450 | TX | |
| Psychiatry Physician | 2084P0800X | H3450 | TX | |
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | H3450 | TX | Primary |
Addresses
Primary practice location
1 Riverway
Suite 600
Houston, TX 77056-1920
Mailing address
1 Riverway Ste 700
Houston, TX 77056-1988
Phone (713) 355-6111
Other names 1
- Dr. John Wayne Cassidy, PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Physicians Services PLLC | Current | Accepting new patients | |
| Cubellis Enterprises, LLC | Current | Accepting new patients | |
| VSC Hbo, LLC | Past | Accepting new patients |
Locations
1 Riverway
Ste 700
Houston, TX 77056
Phone (713) 355-6111
2929 Woodland Park Dr
Houston, TX 77082
Phone (281) 293-7774
1 Riverway
Ste 600
Houston, TX 77056
Phone (713) 355-6111
123 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 364-0317
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Healthbridge Children'S Hospital - Houston, LTD. | Hospital | Corporate Director | Mar 5, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Special Hospital
- Houston, TX
- NPI 1013968726
Corporate Director
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Physician Assistant
- Houston, TX
- NPI 1669765137
-
- In Home Supportive Care Agency
- Houston, TX
- NPI 1033661731
-
- Special Hospital
- Orange, CA
- NPI 1225015985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1114097748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIVERWAY STE 700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561988",
"telephone_number": "713-355-6111",
"fax_number": "713-355-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVERWAY",
"address_2": "SUITE 600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561920",
"telephone_number": "713-355-6111",
"fax_number": "713-355-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": "H3450",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "H3450",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "TX",
"license": "H3450",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H3450",
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "TX",
"license": "H3450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "CASSIDY, PA",
"middle_name": "WAYNE",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.