John Cassidy, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103164 Issued in NC

Practice address

1055 Dresser CT
Raleigh, NC 27609-7323

Phone

(919) 876-3130

Fax

(919) 876-3134

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolina Partners in Mental

  • Non-Pharmacy Dispensing Site
  • Raleigh, NC
  • NPI 1861810715
  NPD (past)
• Johnston Pain Management PA

  • Specialist
  • Jacksonville, NC
  • NPI 1184705865
  NPD (past)
• Michael K Nunn, PC

  • Psychiatry Physician
  • New Bern, NC
  • NPI 1598958621
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1609973403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075571",
            "telephone_number": "919-403-2122",
            "fax_number": "919-401-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-876-3130",
            "fax_number": "919-876-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cashew & Brinkley
• Gabrielle Cashwell
• Neftali Casimiro-Sandoval
• Hershell Cassell, MD
• Rebecca Cassell
• Tyler Ryan Cassidy, PA-C
• David Castagno
• Aaron Andres Castaneda
• Diego A Castellot
• Lilyana Castillo

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.