John R. Cassidy, M.D., P.a.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME0057567 Issued in VA

Legal business name

JOHN R. CASSIDY, M.D., P.A.

Practice address

842 Sunset Lake Blvd
Suite 302
Venice, FL 34292-7551

Phone

(941) 484-3404

Fax

(941) 496-7895

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R Cassidy, M.D.NPI 1518067727

Title

Owner

Phone

(941) 484-3404

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Cassidy, M.D.

  • Neurological Surgery Physician
  • Venice, FL
  • NPI 1518067727
  NPD (past) Authorized official
• Christopher Guerin, M.D.

  • Neurological Surgery Physician
  • Venice, FL
  • NPI 1982704128
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427132133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 SUNSET LAKE BLVD",
            "address_2": "SUITE 302",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927551",
            "telephone_number": "941-484-3404",
            "fax_number": "941-496-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 SUNSET LAKE BLVD",
            "address_2": "SUITE 302",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927551",
            "telephone_number": "941-484-3404",
            "fax_number": "941-496-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. CASSIDY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-484-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "ME0057567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC/BS # FOR JRC",
            "identifier": "10392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis K. Jensen, PSY.D.
• Dixie Jernigan, DMD
• Lindsey Job, MD
• John H. Bennett, DC, PA
• John Paul Vidolin M D P a
• Johnson Medical Center of Venice, Inc.
• Sandra Jean Johnson-Hill, LMT, NMT
• Elizabeth Johnson
• Jeffrey P. Johnson, D.C.
• Keith B Johnson, MD

• Neurological Surgery Physician in Venice, FL
• Providers in Venice, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.