Active NPI
Nathan A Casdorph, P.A.
- Physician Assistant
- Nashville, TN
National Provider Identifier
1487728069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Medicaid | TN | |
| APPLIED FOR | Other | TN | BCBST |
| APPLIED FOR | Other | TN | RAIL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY | TX | MD | Hematology & Oncology Physician |
| PA1810 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Atlas Osteopathy LLC | Past | 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.
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-
- Internal Medicine Physician
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- NPI 1437194669
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Physical Medicine & Rehabilitation Physician
- Cookeville, TN
- NPI 1396037339
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, GA
- NPI 1598109852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.