GREGORY CASSIDY (NPI# 1548231202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548231202 |
| Entity Type | Individual |
| Full Name | GREGORY CASSIDY |
| Credential | P.A.-C |
| Practice Address |
125 N Kalamazoo St #82 Paw Paw MI 49079 |
| Mailing Address |
125 N Kalamazoo St #82 Paw Paw MI 49079-5024 |
| Practice Telephone | 2696571416 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002063 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 451 Health Pkwy, Paw Paw, MI 490798242 | 2696572550 | |
| 970 S Bailey Ave, South Haven, MI 490909701 | 2696392916 | |
| 6220 W Main St, Kalamazoo, MI 490098925 | 2692764744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922538297 | Gregory Philip Cassidy | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-06-19 |
| Street Address |
125 N KALAMAZOO ST #82 |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| 1992249510 | Catherine M Vandyk | Nurse Practitioner | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2016-12-16 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689124349 | Laura Sue Felton-zerafa | Physician Assistant | 404 Hazen St Ste L3, Paw Paw, MI 49079-1040 | 2016-10-06 |
| 1245544170 | Sarah Leese | Physician Assistant | 32790 Mackaprang St, Paw Paw, MI 49079-9593 | 2010-08-03 |
| 1871726752 | Andrew Michael Zolp | Physician Assistant | 56565 Fairway Dr, Paw Paw, MI 49079-9727 | 2009-08-26 |
| 1386719078 | David A Cummings | Physician Assistant | 451 Health Pkwy, Suite A, Paw Paw, MI 49079-8242 | 2006-11-21 |
| 1235195298 | Gerald M Bush | Physician Assistant | 451 Health Pkwy, Suite B, Paw Paw, MI 49079-8242 | 2006-04-26 |
| 1134102635 | Jeanne Louise Fielder | Physician Assistant | 404 Hazen St, Paw Paw, MI 49079-0178 | 2005-11-29 |
| 1437131679 | Daniel Richard Teske | Physician Assistant | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.