Active NPI
Sharon Sue Cassidy, M.D.
- Pulmonary Disease Physician
- Garland, TX
National Provider Identifier
1124069166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D9387
- Practice address
- 700 Walter Reed Blvd
Suite 203
Garland, TX 75042-3701 - Phone
- (972) 494-1446
- Fax
- (972) 276-5476
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D9387 | TX | Primary |
Addresses
Primary practice location
700 Walter Reed Blvd
Suite 203
Garland, TX 75042-3701
Mailing address
700 Walter Reed Blvd
Suite 203
Garland, TX 75042-3701
Phone (972) 494-1446
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M2953 | Other | TX | BCBS |
| 114016206 | Medicaid | TX | |
| 114016204 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9387 | TX | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1124069166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WALTER REED BLVD",
"address_2": "SUITE 203",
"city": "GARLAND",
"state": "TX",
"postal_code": "750423701",
"telephone_number": "972-494-1446",
"fax_number": "972-276-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WALTER REED BLVD",
"address_2": "SUITE 203",
"city": "GARLAND",
"state": "TX",
"postal_code": "750423701",
"telephone_number": "972-494-1446",
"fax_number": "972-276-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "SHARON",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "D9387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M2953",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114016206",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114016204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.