DR. JOHN W CASSIDY (NPI# 1114097748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097748 |
| Entity Type | Individual |
| Full Name | DR. JOHN W CASSIDY |
| Other Name | DR. JOHN WAYNE CASSIDY, PA |
| Credential | M.D. |
| Practice Address |
1 Riverway Suite 600 Houston TX 77056-1920 |
| Practice Telephone | 7133556111 |
| Practice Fax Number | 7133556822 |
| Mailing Telephone | 7133556111 |
| Mailing Fax Number | 7133556822 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
H3450 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
H3450 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
H3450 | TX | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
H3450 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0301X |
Psychiatry & Neurology Specialization: Brain Injury Medicine |
H3450 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL LICENSE | H3450 | 01 |
| MA | MASSACHUSETTS MEDICAL LICENSE | 47995 | 01 |
| CA | CALIFORNIA MEDICAL LICENSE | G130759 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710029822 | John Cassidy | Internal Medicine | 10281 Bannockburn Dr, Los Angeles, CA 90064-4706 | 2007-02-13 |
| 1891890166 | John F Cassidy Iv | Physician Assistant | 34 Summer St, Bangor, ME 04401-6446 | 2006-09-13 |
| 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 |
1 RIVERWAY SUITE 600 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77056-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265983894 | Nexus Physician Services, Pllc | Physician Assistant | 1 Riverway, Suite 600, Houston, TX 77056-1920 | 2016-10-19 |
| 1689025751 | Kathleen Dee | Nurse Practitioner | 1 Riverway, Suite 600, Houston, TX 77056-1920 | 2016-06-29 |
| 1902169006 | Osteoarthritis Institute LLC | Family Medicine | 1 Riverway, Suite 1700, Houston, TX 77056-1920 | 2012-06-22 |
| 1669765137 | Nexus Physicians Services Pllc | Physician Assistant | 1 Riverway, Suite 600, Houston, TX 77056-1920 | 2011-05-17 |
| 1780846394 | Courtney Jane Toomey | Internal Medicine | 1 Riverway, Suite 600, Houston, TX 77056-1920 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068116 | Elvin Aydin Keles | Counselor | 777 S. Post Oak Lane, One Riverway, Suite 1700, Houston, TX 77056 | 2020-06-17 |
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1144851189 | North Houston First Assist, Pllc | Physician Assistant | 777 S Post Oak Lane, One Riverway Suite 1700, Houston, TX 77056 | 2020-01-29 |
| 1487295945 | Gladys Dadeboe | Registered Nurse | 4718 Hallmark Drive, Houston, TX 77056 | 2019-10-04 |
| 1720541444 | Hazel Camilla Hill | Counselor | 2800 Post Oak Blouvard, Suite 4100, Houston, TX 77056 | 2019-04-09 |
| 1225500150 | Mylabs, LLC | Technician, Pathology | 5100 Westheimer, Suite 200, Houston, TX 77056 | 2018-12-17 |
| 1356847529 | Olumayowa Akinyode | Nurse Practitioner | 5402 Westheimer Court, Houston, TX 77056 | 2018-04-04 |
| 1861997652 | Lauren Eye Group LLC | Optometrist | 5135 W Alabama St Ste 5410, Houston, TX 77056 | 2018-03-26 |
| 1619490828 | James House | Massage Therapist | 3000 Sage Rd, 1161, Houston, TN 77056 | 2017-07-19 |
| 1902327661 | Total Care Centers LLC | Counselor | 5201-a Richmond Ste 338, Houston, TX 77056 | 2017-07-03 |
| Find all providers in zip 77056 | ||||
| Taxonomy Code | 2084P0301X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Brain Injury Medicine |
| A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. |
| Notes: Source: American Board of Physical Medicine and Rehabilitation, 2015. www.abpmr.org [1/1/2016: new] |
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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.