JOHN MARTIN CASSIDY (NPI# 1134531106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134531106 |
| Entity Type | Individual |
| Full Name | JOHN MARTIN CASSIDY |
| Credential | M.D. |
| Practice Address |
7715 Wolf River Blvd Germantown TN 38138 |
| Mailing Address |
Po Box 405827 Atlanta GA 30384-5827 |
| Practice Telephone | 9013286031 |
| Practice Fax Number | 9013286035 |
| Mailing Telephone | 9012278581 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 56106 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8040 Wolf River Blvd Ste 103, Germantown, TN 381381773 | 9017258606 | 9017599254 |
| 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 |
| 1891890166 | John F Cassidy Iv | Physician Assistant | 34 Summer St, Bangor, ME 04401-6446 | 2006-09-13 |
| 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 |
7715 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245289305 | Alston Graham Warr | Internal Medicine | 7715 Wolf River Blvd, Germantown, TN 38138 | 2006-05-08 |
| 1356732341 | Virginia Mcghee | Nurse Practitioner | 7715 Wolf River Blvd, Germantown, TN 38138-1706 | 2015-02-11 |
| 1699059667 | Whitney W Tolbert | Nurse Practitioner | 7715 Wolf River Blvd, Germantown, TN 38138-1706 | 2011-10-07 |
| 1770877821 | Stephanie Megan Cochran | Nurse Practitioner | 7715 Wolf River Blvd, Germantown, TN 38138 | 2011-06-07 |
| 1669547634 | Aprille M Abston-turns | Nurse Practitioner | 7715 Wolf River Blvd, Germantown, TN 38138-1706 | 2006-11-22 |
| 1023181864 | Mary K Simpson | Nurse Practitioner | 7715 Wolf River Blvd, Germantown, TN 38138 | 2006-11-17 |
| 1871503177 | William H Light Md PC | Internal Medicine | 7715 Wolf River Blvd, Ger5mantown, Germantown, TN 38138-1706 | 2006-08-09 |
| 1881646099 | William H Light | Internal Medicine | 7715 Wolf River Blvd, Germantown, TN 38138 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139653 | Lakhvinder Wadhwa Md LLC | Internal Medicine | 12800 Middlebrook Rd Ste 114, Germantown, MD 20874-5286 | 2018-10-04 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1871958512 | Forever Young Health and Wellness, LLC | Internal Medicine | 6655 Poplar Ave Ste 204, Germantown, TN 38138-0643 | 2015-12-23 |
| 1740656818 | Kimberly Willey Freeman | Internal Medicine | 7550 Wolf River Blvd Ste 102, Germantown, TN 38138-1779 | 2015-08-12 |
| 1063848372 | Vatti T Anthony Md PC | Internal Medicine | 4 Executive Park Ct, Germantown, MD 20874-2645 | 2013-09-18 |
| 1609114610 | Barton Jerome Gershen | Internal Medicine | 15120 Plainfield Ln, Germantown, MD 20874-3402 | 2013-01-25 |
| 1033475785 | John Francisco Trujillo | Internal Medicine | 19735 Germantown Rd Ste 190, Germantown, MD 20874 | 2012-04-06 |
| 1144590415 | Robert E Ferris | Internal Medicine | 19735 Germantown Road, Ste 300, Mobile Medical Care, Inc, Germantown, MD 20874 | 2012-01-04 |
| 1427331982 | Vitality Mens Health and Wellness, LLC | Internal Medicine | 6655 Poplar Ave, Suite 204, Germantown, TN 38138-3691 | 2011-09-21 |
| 1467759860 | Germantown Wellness & Preventive Medicine, Pllc | Internal Medicine | 1900 Exeter Rd Ste 100, Germantown, TN 38138-2954 | 2011-02-21 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.