Active NPI
Michael G. Cassaro, MD, PSC
- Pain Medicine Physician
- Jeffersonville, IN
National Provider Identifier
1801938642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 22779
- Legal business name
- MICHAEL G. CASSARO, MD, PSC
- Practice address
- 200 Missouri Ave
Suite B
Jeffersonville, IN 47130-3061 - Phone
- (812) 207-2092
- Fax
- (812) 284-5083
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jessica Velten
- Title
- Billing Clerk
- Phone
- (812) 207-2092
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 22779 | KY | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 22779 | KY |
Addresses
Primary practice location
200 Missouri Ave
Suite B
Jeffersonville, IN 47130-3061
Mailing address
200 Missouri Ave
Suite B
Jeffersonville, IN 47130
Phone (812) 207-2092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000317233 | Other | KY | ANTHEM PIN |
National Provider Directory
National Provider DirectoryLocations
200 Missouri Ave
Ste B
Jeffersonville, IN 47130
Phone (812) 207-2092
200 Missouri Ave
#B
Jeffersonvlle, IN 47130
Phone (502) 891-8940
4010 DuPont Cir
Ste 430
Louisville, KY 40207
Phone (502) 891-8940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1457356263
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1801938642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MISSOURI AVE",
"address_2": "SUITE B",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-207-2092",
"fax_number": "812-284-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MISSOURI AVE",
"address_2": "SUITE B",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303061",
"telephone_number": "812-207-2092",
"fax_number": "812-284-5083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL G. CASSARO, MD, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "VELTEN",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "812-207-2092",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "22779",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "22779",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000317233",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.