Sandra Marie Casacchia, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.001207 Issued in OH

Practice address

107 Royal Birkdale Dr
Columbiana, OH 44408-8493

Phone

(330) 482-9350

Fax

(330) 482-2336

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Marsal Patient Care and Wellness, LLC

  • Family Medicine Physician
  • Columbiana, OH
  • NPI 1376161406
  NPD
• Triad Health Services, LLC

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457

  Physician Assistant

  NPD (past)
• Mario R Schwabe & Associates PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkersburg, WV
  • NPI 1801974233
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1467660266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 MARKET ST",
            "address_2": "STE B",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528702",
            "telephone_number": "330-729-2388",
            "fax_number": "330-629-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088493",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACCHIA",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Waldemar Buch, D.O.
• Michael John Buchenic IV, DO
• Erica Marie Burnworth, DPT
• Jaclyn Callow, FNP
• Linda A Camp, M.D.
• Chad C. Moreschi, O.D.
• City of Columbiana
• Cobbler'S Corner LLC
• Jenna Marie Colatruglio, PHARMD
• Gary B. Coleman, M.D.

• Physician Assistant in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.