Individual provider Active NPI

Nathan A Casdorph, P.A.

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1487728069
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1810 Issued in TN
Practice address
2010 Church St
Ste 700
Nashville, TN 37203-2012
Phone
(615) 329-7878
Fax
(615) 329-7899
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1810 TN Primary
Surgical Physician Assistant 363AS0400X PA1810 TN

Addresses

Primary practice location

2010 Church St
Ste 700
Nashville, TN 37203-2012

Mailing address

501 Great Circle Rd
Ste. 200
Nashville, TN 37228-1317
Phone (615) 329-7878

Other identifiers 3

IdentifierTypeStateIssuer
APPLIED FORMedicaidTN
APPLIED FOROtherTNBCBST
APPLIED FOROtherTNRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20100901000222 TN Practitioner - Physician Assistant 8022112325 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TEMPORARYTXMDHematology & Oncology Physician
PA1810TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 13, 2014 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 13, 2014 Accepting new patients
Saint Thomas Medical Partners CurrentSince May 22, 2016 Accepting new patients
Atlas Osteopathy LLC PastSince Nov 10, 2019 Accepting new patients
St. Francis Cardiovascular Institute, LLC Past Accepting new patients

Locations

300 20th Ave N
Fl 9
Nashville, TN 37203

2010 Church St
Ste 700
Nashville, TN 37203
Phone (615) 329-7878

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1487728069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "STE. 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHURCH ST",
            "address_2": "STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032012",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASDORPH",
        "first_name": "NATHAN",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1810",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA1810",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "APPLIED FOR",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "APPLIED FOR",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.