DR. JASON EVAN CASSELMAN (NPI# 1538456462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538456462 |
| Entity Type | Individual |
| Full Name | DR. JASON EVAN CASSELMAN |
| Credential | D.O. |
| Practice Address |
1434 Chester Blvd Reid Ent Richmond IN 47374-1947 |
| Mailing Address |
1100 Reid Pkwy Medical Staff Services Richmond IN 47374-1157 |
| Practice Telephone | 7659669600 |
| Practice Fax Number | 7659629641 |
| Mailing Telephone | 7659661600 |
| Mailing Fax Number | 7659629641 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101019322 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
02004839A | IN | Allopathic & Osteopathic Physicians |
| N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
34.011409 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0172513 | 05 | |
| IN | 201359200 | 05 | |
| ANTHEM | 000001014850 | 01 |
| Street Address |
1434 CHESTER BLVD REID ENT |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888955 | Rohit Bawa | Otolaryngology | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2005-06-01 |
| 1689231664 | Gina N Goodman | Nurse Practitioner | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2019-05-24 |
| 1457706434 | Amanda Daggett | Dermatology | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2016-04-27 |
| 1871993485 | Stacy Borden | Audiologist | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2014-09-02 |
| 1427491984 | Leigh Grace Stone | Dermatology | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2013-04-15 |
| 1386881456 | Kristy L Carter | Physician Assistant | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2009-01-12 |
| 1750531950 | Laura Lea Fragomeni | Audiologist | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2008-09-24 |
| 1326297284 | Reid Physician Associates, Inc. | Internal Medicine | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2008-09-16 |
| 1598927485 | Amber Sadenwater Wolsiefer | Audiologist | 1434 Chester Blvd, Reid Ent, Richmond, IN 47374-1947 | 2008-07-01 |
| 1205009842 | Deanna Lynne Taylor | Physician Assistant | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2008-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467613646 | Brant R. Ward | Internal Medicine | 1250 E Marshall St, Dept. of Internal Medicine/rheumatology, Richmond, VA 23298-5051 | 2008-06-20 |
| 1346457561 | Beth Rubinstein | Internal Medicine | 1250 E Marshall St, Internal Med Allergy Rheumatology, Richmond, VA 23298-5051 | 2007-05-17 |
| 1235251216 | Steven Jonghun Song | Internal Medicine | 901 Nevin Ave, Bldg. C, 1st Floor, Richmond, CA 94801-3143 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229199 | Baki.l.l.c | Internal Medicine | 786 Mccool Rd Ste 6, Valparaiso, IN 46385-8894 | 2017-07-29 |
| 1043339005 | Joseph Nelson Gaddy | Internal Medicine | 2525 N Shadeland Ave, Suite105, Indianapolis, IN 46219-1787 | 2007-03-28 |
| 1780669374 | Douglas A. Neeld | Internal Medicine | 3828 New Vision Drive, Fort Wayne, IN 46845 | 2005-12-07 |
| 1679781314 | Southside Pulmonary & Sleep Consultants, LLC | Internal Medicine | 1040 Greenwood Springs Blvd, Greenwood, IN 46143-7975 | 2007-05-18 |
| 1962586198 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-10-24 |
| 1932299633 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 700 S Main St, Clinton, IN 47842-2420 | 2006-10-13 |
| 1023107869 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 4601 S 7th St, Terre Haute, IN 47802-4522 | 2006-10-12 |
| 1013025097 | Diane Jordan-wagner | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47804-1037 | 2006-08-29 |
| 1578529046 | William H Baker | Internal Medicine | 550 University Blvd, 111p, Indianapolis, IN 46202-5149 | 2006-04-25 |
| 1447229380 | Pulmonary Asthma & Allergy Consults | Internal Medicine | 2510 E Dupont Rd, Ste 200, Fort Wayne, IN 46825 | 2006-03-14 |
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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.