Cassandra A Cavanaugh (NPI# 1063581346, PAC ID# 6709888936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063581346 |
| PAC ID by PECOS | 6709888936 |
| Professional Enrollment ID | I20191009002606 |
| Full Name | Cassandra A Cavanaugh |
| Organization Legal Name | PREMIER DERMATOLOGY,LLC |
| Address |
5301 4th Ave Cir E Bradenton FL 34208-5623 |
| Phone Number | 9417612900 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002031531 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5301 4th Ave Cir E, Bradenton, FL 34208-5623 | 9417612900 | PREMIER DERMATOLOGY,LLC |
| 950 S Tamiami Trl, Suite 206, Sarasota, FL 34236-7818 | 9417612900 | PREMIER DERMATOLOGY,LLC |
| Organization Legal Name | PREMIER DERMATOLOGY,LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Lynn Decubellis | Nurse Practitioner | Premier Dermatology,llc | 3355 Clark Rd, Suite 102, Sarasota, FL 34231-8400 |
| Michelle Isaacs | Nurse Practitioner | Premier Dermatology,llc | 6771 Professional W Pkwy, Lakewood Ranch, FL 34240-8460 |
| Molly Hindman Prichard | Nurse Practitioner | Premier Dermatology,llc | 7400 S Tamiami Trl, Sarasota, FL 34231-7006 |
| Carolyn Meese | Physician Assistant | Premier Dermatology,llc | 3328 Bee Ridge Rd, Sarasota, FL 34239-7213 |
| Kate Irene Ross | Dermatology | Premier Dermatology,llc | 4701 Manatee Ave W, Bradenton, FL 34209-3851 |
| David M Bracciano Sr. | Dermatology | Premier Dermatology,llc | 8430 Cooper Creek Blvd, Suite 102, University Park, FL 34201-2016 |
| Chelsea K Duggan | Dermatology | Premier Dermatology,llc | 3355 Clark Rd, Suite 102, Sarasota, FL 34231-8400 |
| Sheryl A Wilson | Nurse Practitioner | Premier Dermatology,llc | 3328 Bee Ridge Rd, Sarasota, FL 34239-7213 |
| Bradley J Abrams | Dermatology | Premier Dermatology,llc | 3328 Bee Ridge Rd, Sarasota, FL 34239-7213 |
| Robert Paul Finkelstein | Dermatology | Premier Dermatology,llc | 6771 Professional W Pkwy, Lakewood Ranch, FL 34240-8460 |
| Street Address |
5301 4TH AVE CIR E |
| City | BRADENTON |
| State | FL |
| Zip | 34208-5623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Baker | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Bijal J Patel | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Michelle G Green | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Cassandra M. Hafner | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Ashley Metzgar | Physician Assistant | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Catherine Mauldin Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| James M Pineno | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Christopher M Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Natalie E Borg | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Andrew R Clark | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Find all physicians in zip 34208 | |||
| City | BRADENTON |
| Zip Code | 34208 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRADENTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.