CASSIDI ANN UDY I


Address: 765 Liberty St Ste 105, Meadville, PA 16335-2567
Phone: 8143732310

CASSIDI ANN UDY I (NPI# 1629557111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629557111
Entity Type Individual
Full Name CASSIDI ANN UDY I
Credential PA-C
Practice Address 765 Liberty St Ste 105
Meadville
PA 16335-2567
Mailing Address 1034 Grove St
Meadville
PA 16335-2945
Practice Telephone 8143732310
Practice Fax Number 8143732313
Mailing Telephone 8143732310
Mailing Fax Number 8143732313
Enumeration Date 2018-08-07
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA059985 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 765 LIBERTY ST STE 105
City MEADVILLE
State PA
Zip Code 16335-2567

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548494115 Victor John Pilewski Surgery 765 Liberty St Ste 105, Meadville, PA 16335-2567 2009-05-11
1336557891 Karen A Roche Physician Assistant 765 Liberty St Ste 105, Meadville, PA 16335-2567 2014-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811533508 Stacey Lynette Lantz Physical Therapy Assistant 11277 Vernon Place Road, Meadville, PA 16335 2019-11-18
1952874794 Amy Lynn Weaver Social Worker Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 2019-01-04
1013437789 Raymond Walter Keller Jr. Family Medicine 735 Liberty St, Meadville, PA 16335 2017-06-23
1750735742 Nicole Fies Counselor 201 Chestnut Street, Floor 2, Meadville, PA 16335 2016-04-16
1760894422 Amie S Coffman Psychiatry & Neurology 765 Liberty St Ste 303, Meadville, PA 16335 2014-05-28
1649609710 Gina Marie Michalak Pharmacist 379 North Street, Meadville, PA 16335 2013-11-08
1518396704 Cassandra Lynn Ketler Physician Assistant 847 North Main Street, Meadville, PA 16335 2013-11-07
1194159913 Judy Mcelwain Speech-Language Pathologist 31 N Park Ave, Meadville, PA 16335 2013-08-28
1649604463 Jonelle Elizabeth Taylor Occupational Therapist 31 North Park Ave, Meadville, PA 16335 2013-08-28
1699046961 James Richard Mclamb Orthopaedic Surgery 6060 Ehrgott Rd, Meadville, PA 16335 2012-01-19
Find all providers in zip 16335

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154874808 Kelsey M Snyder Physician Assistant 765 Liberty St Ste 207a, Meadville, PA 16335-2568 2016-07-29
1861985657 Robert Lee Black IIi Physician Assistant 640 Alden St, Meadville, PA 16335-2348 2018-06-07
1497264964 Shannon Marie Queiser Physician Assistant 751 Liberty St, Meadville, PA 16335-2559 2017-09-27
1942719711 Nichole B Witchey Physician Assistant 640 Alden St, Meadville, PA 16335-2348 2017-09-25
1851800627 Dexter Jordan Witchey Physician Assistant 751 Liberty St, Meadville, PA 16335-2559 2017-09-25
1275913907 Anna E Jeffries Physician Assistant 640 Alden St, Meadville, PA 16335-2348 2015-06-08
1063817039 Kaleigh Nicole Simcoe Physician Assistant 1015 Grove St, Meadville, PA 16335-2905 2014-11-03
1336557891 Karen A Roche Physician Assistant 765 Liberty St Ste 105, Meadville, PA 16335-2567 2014-07-29
1811243470 Alicia Jean Campbell Physician Assistant 105 Mead Ave, Suite C, Meadville, PA 16335-3531 2012-07-31
1548553712 Anthony James Quindardo Physician Assistant 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 2011-05-20
Find all providers in MEADVILLE

Competitor

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City MEADVILLE
Zip Code 16335

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Dataset Information

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.

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