Individual provider Active NPI

John R Cassidy, M.D.

  • Neurological Surgery Physician
  • Venice, FL
National Provider Identifier
1518067727
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0057567 Issued in VA
Practice address
842 Sunset Lake Blvd
Suite 302
Venice, FL 34292-7552
Phone
(941) 484-3404
Fax
(941) 496-7895
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME0057567 VA Primary

Addresses

Primary practice location

842 Sunset Lake Blvd
Suite 302
Venice, FL 34292-7552

Mailing address

842 Sunset Lake Blvd
Suite 302
Venice, FL 34292-7552
Phone (941) 484-3404

Other identifiers 2

IdentifierTypeStateIssuer
952967OtherFLDR CASSIDY AETNA #
10392OtherFLDR CASSIDY FL BC/BS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000358 FL Practitioner - Neurosurgery 4183697063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Virginia Commonwealth University, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Neurosurgical Associates Cassidy and Guerin, MD, PAGroup PAC ID 5395718274, 2 clinicians

Practice addresses (Care Compare)

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064

842 Sunset Lake Blvd
Suite 302
Venice, FL 34292-7552
Phone (941) 484-3404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion116
Laminectomy or laminotomy (partial removal of spine bones)101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0057567VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates Cassidy & Guerin, MD, PA Neurological Surgery CurrentSince Aug 1, 2004 Accepting new patients
John R. Cassidy, M.D., P.a. Neurological Surgery PastSince Aug 1, 2004 Accepting new patients

Locations

5741 Bee Ridge Rd
Ste 320
Sarasota, FL 34233
Phone (941) 320-5026

530 Nokomis Ave S
Ste 11
Venice, FL 34285
Phone (941) 484-3404

842 Sunset Lake Blvd
Ste 302
Venice, FL 34292
Phone (941) 484-3404

842 Sunset Lake Blvd
Ste 301
Venice, FL 34292
Phone (941) 375-3006

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: john@neuro.directglo.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1518067727",
    "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": "342927552",
            "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": "342927552",
            "telephone_number": "941-484-3404",
            "fax_number": "941-496-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "ME0057567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CASSIDY AETNA #",
            "identifier": "952967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CASSIDY FL BC/BS #",
            "identifier": "10392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.