COLLEEN F CASSIDY (NPI# 1275899841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275899841 |
| Entity Type | Individual |
| Full Name | COLLEEN F CASSIDY |
| Credential | MD |
| Practice Address |
705 S University Ave Ste 500 Beaver Dam WI 53916-3053 |
| Mailing Address |
1513 Park Ave 2nd Floor Columbus WI 53925-1618 |
| Practice Telephone | 9208773102 |
| Practice Fax Number | 9208858790 |
| Mailing Telephone | 9206239611 |
| Mailing Fax Number | 9206231787 |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 61855-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1275899841 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366900029 | Colleen Cassidy | Behavioral Analyst | 640 Hanover St, Manchester, NH 03104-5306 | 2019-03-12 |
| 1184198764 | Colleen Cassidy | Early Intervention Provider Agency | 4326 Duke St, Alexandria, VA 22304-2528 | 2019-01-16 |
| 1619081981 | Colleen Marie Cassidy | Social Worker | 1900 E La Palma Ave, Suite 101, Anaheim, CA 92805-1647 | 2006-08-17 |
| 1225246465 | Colleen M Cassidy | Pharmacist | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2007-05-20 |
| Street Address |
705 S UNIVERSITY AVE STE 500 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164473617 | Jamie S Deering | Family Medicine | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-05-12 |
| 1619338555 | Holly F Anderson | Nurse Practitioner | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2016-03-18 |
| 1821199449 | Rolf H Hansen | Podiatrist | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1538491998 | Beaver Dam Community Hospitals Inc | Family Medicine | 130 Warren St Ste 132, Beaver Dam, WI 53916 | 2010-02-09 |
| 1891894523 | Billy R Allen | Family Medicine | 1520 N Main Street, Beaver Dam, KY 42320-0086 | 2006-09-21 |
| 1841243433 | Victor W. Caceres | Family Medicine | 919 S University Ave, Beaver Dam, WI 53916-3001 | 2006-05-18 |
| 1164473617 | Jamie S Deering | Family Medicine | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-05-12 |
| 1720047863 | Eric D Miller | Family Medicine | 215 Corporate Dr. Suite A, Paladina Health, Beaver Dam, WI 53916 | 2006-03-18 |
| 1558354068 | Paul R Mcmillan | Family Medicine | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2005-08-30 |
| 1154877504 | Paladina Health, LLC | Family Medicine | 215 Corporate Dr, Suite A, Beaver Dam, WI 53916-3123 | 2016-08-26 |
| 1922468891 | Church Health Services, Inc. | Family Medicine | 115 N Center St, Beaver Dam, WI 53916-2119 | 2016-03-04 |
| 1205248804 | Ayaz Samandani Md Sc | Family Medicine | 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 | 2014-05-30 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on COLLEEN F CASSIDY.
| 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.