Active NPI
Elizabeth Cassidy, PA-C
- Physician Assistant
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA4477
- Practice address
- 77 Herrick St Ste 201
Beverly, MA 01915-2796 - Phone
- (978) 927-3040
- Fax
- (978) 927-0443
- NPI assigned
- Oct 5, 2012
- Last updated
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA4477 | MA | Primary |
Addresses
Primary practice location
77 Herrick St Ste 201
Beverly, MA 01915-2796
Mailing address
77 Herrick St Ste 201
Beverly, MA 01915-2796
Phone (978) 927-3040
Other names 1
- Elizabeth Terlik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040
99 Conifer Hill Dr
Suite 204
Danvers, MA 01923-1194
Phone (978) 927-3040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4477 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Orthopedic Associates Inc | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040
77 Herrick St
Ste 201
Beverly, MA 01915
Phone (978) 927-3040
99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698
Interoperability endpoints
- elizabeth.cassidy.1@30242.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Beverly, MA
- NPI 1548350945
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
dba Spaulding Rehabilitation Hospital - Boston
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1639421308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 HERRICK ST STE 201",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152796",
"telephone_number": "978-927-3040",
"fax_number": "978-927-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 HERRICK ST STE 201",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152796",
"telephone_number": "978-927-3040",
"fax_number": "978-927-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA4477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "TERLIK",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.