CASSIDY SEAN FORD (NPI# 1053979955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053979955 |
| Entity Type | Individual |
| Full Name | CASSIDY SEAN FORD |
| Credential | PA-C |
| Practice Address |
15 Jane Jacobs Rd Black Mountain NC 28711-6306 |
| Mailing Address |
Po Box 1869 Fletcher NC 28732-1869 |
| Practice Telephone | 8282980333 |
| Mailing Telephone | 8286875616 |
| Mailing Fax Number | 8286508076 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-09122 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 Gashes Creek Rd, Asheville, NC 288039405 | 8282980333 | 8282980050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932761152 | Cassidy L Ford | Speech-Language Pathologist | 115 Sudbrook Ln Ste A, Pikesville, MD 21208-4184 | 2019-07-09 |
| Street Address |
15 JANE JACOBS RD |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237395 | Caleb Bemis | Physical Therapist | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2006-05-28 |
| 1548611502 | Timothy Icard | Physical Therapist | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2016-06-30 |
| 1578942355 | Anita H Slate | Hearing Instrument Specialist | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2015-05-26 |
| 1326446733 | Elaine Castle | Physical Therapist | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2014-12-17 |
| 1174882542 | Timothy Everett | Physical Therapist | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2012-05-04 |
| 1487925095 | A Better View Family Eye Care, Inc. | Eyewear Supplier (Equipment, not the service) | 15 Jane Jacobs Rd, Suite 103a, Black Mountain, NC 28711-6306 | 2012-01-13 |
| 1740587310 | Daniel A Bennett | Chiropractor | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2011-02-17 |
| 1124290218 | Richard W. Wiedeman, Dds, Pa | Dentist | 15 Jane Jacobs Rd, Suite 201, Black Mountain, NC 28711-6306 | 2008-03-28 |
| 1609057876 | Dr Christina Smith Optometrist Pa | Optometrist | 15 Jane Jacobs Rd, Suite 103b, Black Mountain, NC 28711 | 2007-11-16 |
| 1720267883 | Ashley L. Leroy | Physical Therapist | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2007-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers in zip 28711 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709131 | Jackson Randolph Dobbins | Physician Assistant | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2005-09-06 |
| 1215488481 | Rdmg Associates Pa | Physician Assistant | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2016-10-21 |
| 1164675153 | Saeri Lee Wren | Physician Assistant | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2008-11-04 |
| 1720153869 | Susan Eliza Casar | Physician Assistant | 932 Old Us Hwy 70 W, Black Mountain, NC 28711-2547 | 2006-11-22 |
| 1366524167 | Robert Stephens | Physician Assistant | 3164 Us 70 Hwy, Black Mountain, NC 28711-6302 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.