DR. MARK MCCREARY CASSIDY (NPI# 1619081932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619081932 |
| Entity Type | Individual |
| Full Name | DR. MARK MCCREARY CASSIDY |
| Credential | M.D. |
| Practice Address |
1415 Tulane Ave New Orleans LA 70112-2600 |
| Mailing Address |
1430 Tulane Ave Sl-48 New Orleans LA 70112-2632 |
| Practice Telephone | 5049885152 |
| Practice Fax Number | 5049884237 |
| Mailing Telephone | 5049885152 |
| Mailing Fax Number | 5049884237 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
016062 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1328987 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619004868 | Mark Joseph Cassidy | Dentist | 6979 S Holly Cir, #280, Centennial, CO 80112-1577 | 2007-02-27 |
| Street Address |
1415 TULANE AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325066 | Cynthia Crocker Benz | Clinical Nurse Specialist | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2005-06-08 |
| 1164022141 | Destry Quade Patterson | Physical Therapy Assistant | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-10-28 |
| 1336749316 | Caroline Leigh Nelson | Physical Therapy Assistant | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-10-28 |
| 1689280893 | Colleen Mcconnell | Dietitian, Registered | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-09-22 |
| 1184243925 | Caleb Weber Fligor | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-04-12 |
| 1033747076 | Deven Emmanuel Gulick | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-27 |
| 1972131894 | Evan Leonard O'keefe | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-27 |
| 1114554474 | Erica Mascarenhas | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-26 |
| 1538796768 | Blake Daynes Winston | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-26 |
| 1942837026 | Allan Parr IIi | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1326242819 | David R. Janz | Internal Medicine | 1901 Perdido St Ste 3205, New Orleans, LA 70112-1393 | 2007-06-11 |
| 1568569713 | James S Dunnick | Internal Medicine | 531 Burgundy St, New Orleans, LA 70112-3403 | 2006-09-20 |
| 1922021872 | James Patrick O'leary | Internal Medicine | Surgery, 1542 Tulane Ave, New Orleans, LA 70112 | 2006-07-25 |
| 1902829831 | David Gellinger Kline | Internal Medicine | Neurosurgery, 2020 Gravier St 7th Floor, New Orleans, LA 70112 | 2006-07-25 |
| 1154344109 | Robert Charles Mipro Jr. | Internal Medicine | Lsu Pm&r Clinic, 1532 Tulane Avenue, New Orleans, LA 70112 | 2006-07-25 |
| 1033132972 | Herman Andrew Heck Jr. | Internal Medicine | Lsuhn Ct Surgery, 3535 Bienville Street, Suite E325, New Orleans, LA 70119 | 2006-07-25 |
| 1477576312 | Linda Marie Joseph | Internal Medicine | Helen Levy Clinic, 2727 Louisa Street, Suite 7, New Orleans, LA 70126 | 2006-07-25 |
| 1790708618 | Alfredo Lopez | Internal Medicine | Nutrition Department, 2020 Gravier Street, New Orleans, LA 70112 | 2006-07-25 |
| 1760405682 | Kenneth Marlin Dieffenbach | Internal Medicine | Lsu Plastic Surgery Clinic, 1532 Tulane Avenue, New Orleans, LA 70112 | 2006-07-25 |
| 1396767190 | Marcy D. Rose | Internal Medicine | Psychiatry, 1542 Tulane Avene, New Orleans, LA 70112 | 2006-07-24 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.