Organization Active NPI

Michael G. Cassaro, MD, PSC

  • Pain Medicine Physician
  • Jeffersonville, IN
National Provider Identifier
1801938642
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
22779 Issued in KY
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

Updated by the provider on Nov 2, 2011

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 22779 KY Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000317233OtherKYANTHEM PIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.