Gregory Clarence Cassidy (NPI# 1548231202, PAC ID# 8729337001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1548231202 |
| PAC ID by PECOS | 8729337001 |
| Professional Enrollment ID | I20180820002263 |
| Full Name | Gregory Clarence Cassidy |
| Organization Legal Name | BRONSON SOUTH HAVEN HOSPITAL |
| Address |
950 S Bailey Ave South Haven MI 49090-8744 |
| Phone Number | 2696392796 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6204724834 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 S Bailey Ave, South Haven, MI 49090-8744 | 2696392796 | BRONSON SOUTH HAVEN HOSPITAL |
| 950 S Bailey Ave, Suite 1, South Haven, MI 49090-8744 | 2696392866 | BRONSON SOUTH HAVEN HOSPITAL |
| 970 S Bailey Ave, South Haven, MI 49090-9701 | 2696392916 | BRONSON SOUTH HAVEN HOSPITAL |
| Organization Legal Name | BRONSON SOUTH HAVEN HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia M Mccarthy | Nurse Practitioner | Bronson South Haven Hospital | 930 Blue Star Memorial Hwy, South Haven, MI 49090-8707 |
| Daniel Makande | Emergency Medicine | Bronson South Haven Hospital | 965 S Bailey Ave, South Haven, MI 49090-6743 |
| Mona K Merritt | Family Medicine | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Jenny N Jordan-dekam | Clinical Social Worker | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Katrina N Barrett | Nurse Practitioner | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Gordon Ray Bleil | Family Medicine | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Brice J Miller | Physician Assistant | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Allan Caudill | General Surgery | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Caleb H Springstenn | Pediatric Medicine | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Richard J Allen | Family Medicine | Bronson South Haven Hospital | 930 Blue Star Memorial Hwy, South Haven, MI 49090-8707 |
| Street Address |
950 S BAILEY AVE |
| City | SOUTH HAVEN |
| State | MI |
| Zip | 49090-8744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Allen Vassar | Chiropractic | 330 Kalamazoo St, Suite 3, South Haven, MI 49090-1388 | |
| Christine N Taylor | Chiropractic | 418 Broadway St, South Haven, MI 49090-1421 | |
| Melanie A Skindzier Gleiss | Chiropractic | Stillpoint Chiropractic Centre Pllc | 888 Phillips St, South Haven, MI 49090-1845 |
| J. Alan Mannik | Optometry | South Haven Eyecare Associates | 1088 S Bailey Ave B, South Haven, MI 49090-6723 |
| Alice Bacak | Optometry | South Haven Eyecare Associates | 1088 S Bailey Ave B, South Haven, MI 49090-6723 |
| Daniel Makande | Emergency Medicine | Bronson South Haven Hospital | 965 S Bailey Ave, South Haven, MI 49090-6743 |
| Mona K Merritt | Family Medicine | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Jenny N Jordan-dekam | Clinical Social Worker | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Katrina N Barrett | Nurse Practitioner | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Gordon Ray Bleil | Family Medicine | Bronson South Haven Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 |
| Find all physicians in zip 49090 | |||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTH HAVEN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gregory Clarence Cassidy.
| 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.