Cassidy Blacha, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13837 Circa Crossing Dr
Lithia, FL 33547-4382

Phone

(813) 684-2663

NPI assigned

Sep 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Medical Group of Tampa Bay PAGroup PAC ID 9436220415, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Orthopaedic Medical Group of Tampa Bay PA

  • Orthopaedic Surgery Physician
  • Lithia, FL
  • NPI 1740407121
  Medicare reassignment Care Compare group
• Orthopaedic Medical Group of Tampa Bay PA

  • Orthopaedic Surgery Physician
  • Winter Haven, FL
  • NPI 1225414469
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Florida Baptist Hospital Inc

  dba South Florida Baptist Hospital

  • General Acute Care Hospital
  • Plant City, FL
  • NPI 1548205883
  Care Compare affiliation

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1265210983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13837 CIRCA CROSSING DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474382",
            "telephone_number": "813-684-2663",
            "fax_number": "813-658-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13837 CIRCA CROSSING DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474382",
            "telephone_number": "813-684-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHA",
        "first_name": "CASSIDY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicole Bedrosian, COTA
• Courtney Behrens
• Beth Belof Jasko, M.D.
• Sabrina Benarroch
• Bishop Absolute Psychological Services, Inc.
• Anastasia Bobet
• Kailyn Bonner
• Rochelle Latia Boswell
• Christopher Lee Boudreau
• Bridge the Divide LLC (Success On The Spectrum Fishhawk)

• Physician Assistant in Lithia, FL
• Providers in Lithia, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.