Amy N Cassady, DMD
Individual provider
Active NPI
Dentist · Glasgow, KY
NPI 1194883058 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194883058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7104 (KY)
- Practice address
- 101 State Ave
Glasgow, KY 42141
- Phone
- (270) 651-5939
- Fax
- (270) 651-7062
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|
T J Samson Community Hospital
Glasgow, KY · CCN 180017 |
Hospital |
Corporate Director |
May 1, 2022 |
T J Samson Home Health
Glasgow, KY · CCN 187062 |
Home health agency |
Corporate Director |
May 1, 2022 |
T J Samson Hospice
Glasgow, KY · CCN 181531 |
Hospice |
Corporate Director |
May 1, 2022 |
T J Health Cave City
Cave City, KY · CCN 183493 |
Rural health clinic |
Corporate Director |
May 1, 2022 |
T J Health Greensburg Clinic
Greensburg, KY · CCN 183496 |
Rural health clinic |
Corporate Director |
May 1, 2022 |
T J Health Tompkinsville Clinic
Tompkinsville, KY · CCN 188500 |
Rural health clinic |
Corporate Director |
May 1, 2022 |
T J Health Scottsville
Scottsville, KY · CCN 188527 |
Rural health clinic |
Corporate Director |
May 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20160216001103 |
KY |
Order and Referring Only - Dentist
Practitioner - Dentist |
5991000796 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
7104 |
KY |
Yes |
Addresses
Primary practice location
101 State Ave
Glasgow, KY 42141
Mailing address
PO Box 40
Glasgow, KY 42142
Phone (270) 651-5939
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 61901252 | Medicaid | KY | |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.