Individual provider Active NPI

Andrew P. Cassidy, PA

  • Podiatrist
  • Bee Cave, TX
National Provider Identifier
1154379212
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1671 Issued in TX
Practice address
3944 FM 620 S
Ste 204
Bee Cave, TX 78738-7166
Phone
(512) 263-5454
Fax
(512) 263-1272
NPI assigned
May 4, 2006
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1671 TX Primary

Addresses

Primary practice location

3944 FM 620 S
Ste 204
Bee Cave, TX 78738-7166

Mailing address

3944 FM 620 S
Ste 204
Bee Cave, TX 78738-7166
Phone (512) 263-5454

Other practice location 1

13830 Sawyer Ranch Rd Ste 302
Dripping Springs, TX 78620-5514
Phone (512) 263-5454

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Specialty Care Services Podiatrist Past Accepting new patients
Valley Mills Nursing and Rehabilitation LP Past Accepting new patients
Lake Shore Center for Psychological Services, P.C. Past Accepting new patients
Dr Donald Wayne Hopkins Past Accepting new patients
Hometown Care Center LLC Past Accepting new patients
Podiatry Consultants of Texas, Inc Podiatrist Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1154379212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 FM 620 S",
            "address_2": "STE 204",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787387166",
            "telephone_number": "512-263-5454",
            "fax_number": "512-263-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 FM 620 S",
            "address_2": "STE 204",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787387166",
            "telephone_number": "512-263-5454",
            "fax_number": "512-263-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13830 Sawyer Ranch Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205514",
            "country_code": "US",
            "telephone_number": "512-263-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "ANDREW",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.