Active NPI
John Michael Cassidy, M.D.
- Cardiovascular Disease Physician
- Tulsa, OK
National Provider Identifier
1356388342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 18361
- Practice address
- 6151 S Yale Ave
Suite 400
Tulsa, OK 74136-1907 - Phone
- (918) 494-8500
- Fax
- (918) 307-5586
- NPI assigned
- May 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 18361 | OK | Primary |
Addresses
Primary practice location
6151 S Yale Ave
Suite 400
Tulsa, OK 74136-1907
Mailing address
6151 S Yale Ave
Suite 400
Tulsa, OK 74136-1907
Phone (918) 494-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00409612 | Other | OK | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 18361 | OK | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology of Tulsa Inc. Dba Cardiology Diagnostics of Tulsa | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Tulsa, OK
- NPI 1255528956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1356388342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 S YALE AVE",
"address_2": "SUITE 400",
"city": "TULSA",
"state": "OK",
"postal_code": "741361907",
"telephone_number": "918-494-8500",
"fax_number": "918-307-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 S YALE AVE",
"address_2": "SUITE 400",
"city": "TULSA",
"state": "OK",
"postal_code": "741361907",
"telephone_number": "918-494-8500",
"fax_number": "918-307-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OK",
"license": "18361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00409612",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.