JOHN F CASSIDY IV (NPI# 1891890166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891890166 |
| Entity Type | Individual |
| Full Name | JOHN F CASSIDY IV |
| Credential | PA-C |
| Practice Address |
34 Summer St Bangor ME 04401-6446 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079922636 |
| Practice Fax Number | 2079922638 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA389 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 259290099 | 05 | |
| ME | MEDICARE GROUP NUMBER | MM9086 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710029822 | John Cassidy | Internal Medicine | 10281 Bannockburn Dr, Los Angeles, CA 90064-4706 | 2007-02-13 |
| 1114097748 | John W Cassidy | Psychiatry & Neurology | 1 Riverway, Suite 600, Houston, TX 77056-1920 | 2006-11-09 |
| 1134531106 | John Martin Cassidy | Internal Medicine | 7715 Wolf River Blvd, Germantown, TN 38138 | 2014-05-27 |
| 1053495036 | John F. Cassidy | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1518067727 | John R Cassidy | Neurological Surgery | 842 Sunset Lake Blvd, Suite 302, Venice, FL 34292-7552 | 2006-09-25 |
| 1609973403 | John Cassidy | Physician Assistant | 1055 Dresser Ct, Raleigh, NC 27609-7323 | 2006-09-20 |
| 1174531982 | John Cassidy | Counselor | 375 Orleans St E, Stillwater, MN 55082-5830 | 2006-08-04 |
| 1356388342 | John Michael Cassidy | Internal Medicine | 6151 S Yale Ave, Suite 400, Tulsa, OK 74136-1907 | 2006-05-31 |
| 1487627899 | John E Cassidy | Physician Assistant | 1 Elm St, Ludlow, VT 05149-1301 | 2006-02-08 |
| Street Address |
34 SUMMER ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356648026 | Peter T Phillips | Social Worker | 34 Summer St, Bangor, ME 04401-6446 | 2011-02-16 |
| 1689985855 | David C Ulrich | Nurse Practitioner | 34 Summer St, Bangor, ME 04401-6446 | 2010-06-23 |
| 1518104355 | Angela C Fileccia | Social Worker | 34 Summer St, Bangor, ME 04401-6446 | 2009-01-15 |
| 1689825770 | Michael J Andrick | Counselor | 34 Summer St, Bangor, ME 04401-6446 | 2008-10-07 |
| 1588868814 | Penobscot Community Health Center | Counselor | 34 Summer St, Bangor, ME 04401-6446 | 2007-06-12 |
| 1306962006 | Carol P Schreck | Physician Assistant | 34 Summer St, Bangor, ME 04401-6467 | 2007-03-22 |
| 1053410894 | Penobscot Community Health Center | Family Medicine | 34 Summer St, Bangor, ME 04401 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1932647112 | Cory Callahan | Physician Assistant | 417 State St, Suite 340, Bangor, ME 04401 | 2017-02-07 |
| 1437559010 | Shelby June Slauenwhite | Physician Assistant | 489 State St Ste 221, Bangor, ME 04401-6616 | 2014-09-02 |
| 1437242294 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Drive, Suite 5, Bangor, ME 04401 | 2006-10-02 |
| 1831124338 | Isolde Kissinger | Physician Assistant | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-12 |
| 1366472847 | Michael Moreau | Physician Assistant | 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 | 2006-07-03 |
| 1104868603 | Karen D Godin | Physician Assistant | 417 State St Ste 400, Penobscot Respiratory, Bangor, ME 04401-6096 | 2006-06-11 |
| 1912976911 | Joseph Harkins | Physician Assistant | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-03-14 |
| 1932194214 | Shirley E Sanders | Physician Assistant | 555 Railroad St, Bangor, MI 49013-1464 | 2005-09-13 |
| 1588277958 | Shannon Lee Niedbala | Physician Assistant | 543 Broadway, Bangor, ME 04401-3337 | 2020-08-26 |
| Find all providers in BANGOR | ||||
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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.