Daniel Cassidy, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

10648 Issued in ME

Practice address

417 State St
Suite 121
Bangor, ME 04401-6630

Phone

(207) 973-7000

Fax

(207) 973-5151

NPI assigned

Jun 3, 2006

Last updated

Dec 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gastroenterology Associates of Eastern Maine

  • Gastroenterology Physician
  • Bangor, ME
  • NPI 1699983536
  NPD (past) Authorized official
• St. Joseph Ambulatory Care Inc

  dba St. Joseph Infusion Center

  • Medical Specialty Clinic/Center
  • Bangor, ME
  • NPI 1184678088
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1427096494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006",
            "telephone_number": "207-973-4266",
            "fax_number": "207-973-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST",
            "address_2": "SUITE 121",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016630",
            "telephone_number": "207-973-7000",
            "fax_number": "207-973-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandi Carver, CRNA
• Mary E Case, PMHNP-BC, FNP-C
• Paige Casey, CFNP
• James M Cash, DC
• Kathryn Alice Casner, NP
• Thomas Cassidy, D.O.
• Bernard Castonguay Jr., PT
• Hannah Morgan Castrucci, MD
• Cataract Consultants, PLLC
• Catch a Falling Star

• Gastroenterology Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.