Cassandra Lynn Lashomb, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018735 Issued in NY

Practice address

31 Hospital Dr
Massena, NY 13662-1009

Phone

(315) 769-1099

Fax

(315) 705-4969

NPI assigned

Jul 29, 2015

Sex

Female

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Sanjeev and Mukta Gupta

  • Multi-Specialty Clinic/Center
  • Massena, NY
  • NPI 1245253830
  Medicare reassignment

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1689059727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621009",
            "telephone_number": "315-769-1099",
            "fax_number": "315-705-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621009",
            "telephone_number": "315-769-1099",
            "fax_number": "315-705-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St Lawrence University",
            "address_2": "23 Romoda Drive",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "13662",
            "country_code": "US",
            "telephone_number": "315-229-5392",
            "fax_number": "315-229-5514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136621056",
            "country_code": "US",
            "telephone_number": "315-769-4321",
            "fax_number": "315-842-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASHOMB",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanielle Kilgore
• Andrew William Kocsis
• Jacob N Koon
• Nicole Kormanyos, LCSW
• KPH Healthcare Services, Inc.
• Emily Lashomb, DPT
• Kirstie Ann Lavare
• Pamela Sue Leary, PA
• Christina Leboeuf, LIC.AC., MAOM
• Francine Leclerc, OCCUPATIONAL THER.

• Physician Assistant in Massena, NY
• Providers in Massena, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.

Verify at the official NPI Registry.