Active NPI
Cassidy Hogan, PA-C
- Medical Physician Assistant
- Denver, CO
National Provider Identifier
1962654582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2138
- Practice address
- 1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1216 - Phone
- (303) 869-2182
- Fax
- (303) 869-1906
- NPI assigned
- Oct 14, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2138 | CO | Primary |
Addresses
Primary practice location
1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1216
Mailing address
1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1216
Phone (303) 869-2182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1068333 | Other | CO | NCCPA |
Other names 1
- Cassidy Seidl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2138 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Youth Medical and Nursing Consultants, Inc | Past | Accepting new patients | |
| Rocky Mountain Youth Medical & Nursing Consultants Inc | Past | Accepting new patients |
Interoperability endpoints
- cassidy.hogan.1@14034.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 and National Provider Directory roles.
-
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- Thornton, CO
- NPI 1730295296
-
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1811492978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1962654582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 19TH AVE",
"address_2": "SUITE 6300",
"city": "DENVER",
"state": "CO",
"postal_code": "802181216",
"telephone_number": "303-869-2182",
"fax_number": "303-869-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 19TH AVE",
"address_2": "SUITE 6300",
"city": "DENVER",
"state": "CO",
"postal_code": "802181216",
"telephone_number": "303-869-2182",
"fax_number": "303-869-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "CASSIDY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1068333",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIDY",
"last_name": "SEIDL",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.