BRANDI SUE CASSADAY (NPI# 1730133356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730133356 |
| Entity Type | Individual |
| Full Name | BRANDI SUE CASSADAY |
| Credential | PA |
| Practice Address |
520 Valley View Dr Moline IL 61265-6152 |
| Mailing Address |
306 46th Ave East Moline IL 61244-4281 |
| Practice Telephone | 3097623621 |
| Practice Fax Number | 3097623690 |
| Mailing Telephone | 3097962329 |
| Mailing Fax Number | 3097961146 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 99958 | 01 |
| IL | MEDICARE RAILROAD | P00605023 | 01 |
| Street Address |
520 VALLEY VIEW DR |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369419 | Edward A Connolly | Orthopaedic Surgery | 520 Valley View Dr, Moline, IL 61265-6194 | 2006-01-04 |
| 1306476445 | Lauren Emily Haas | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6152 | 2020-01-16 |
| 1548621774 | Dana Jo Taylor | Specialist/Technologist | 520 Valley View Dr, Ste. 500, Moline, IL 61265-6152 | 2016-03-16 |
| 1669862264 | Alison Vandegrift | Physical Therapist | 520 Valley View Dr, Moline, IL 61265-6152 | 2015-02-03 |
| 1649670332 | Katherine O'day | Occupational Therapist | 520 Valley View Dr, Moline, IL 61265-6152 | 2014-08-29 |
| 1245648963 | Jamie Porter | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2014-07-25 |
| 1235550567 | Andrew Abatiell Md Pllc | Anesthesiology | 520 Valley View Dr, Moline, IL 61265-6152 | 2014-01-06 |
| 1679823223 | Allison M Mcgraw | Occupational Therapist | 520 Valley View Dr, Ste. 200, Moline, IL 61265-6152 | 2012-09-11 |
| 1073882858 | Ashley M Schurr | Physical Therapist | 520 Valley View Dr, Suite 200, Moline, IL 61265-6152 | 2011-12-22 |
| 1487922738 | Andrea M Black | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2011-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1306476445 | Lauren Emily Haas | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6152 | 2020-01-16 |
| 1043793540 | Anne Elizabeth Richards | Physician Assistant | 600 John Deere Rd Ste 200, Moline, IL 61265-6897 | 2018-09-11 |
| 1245648963 | Jamie Porter | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2014-07-25 |
| 1174882559 | Benjamin Auliff | Physician Assistant | 2526 41st St, Moline, IL 61265 | 2012-05-04 |
| 1487922738 | Andrea M Black | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2011-12-01 |
| 1205119971 | Evan L Witt | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2011-09-20 |
| 1134437304 | Jennifer Lynne Miller | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2010-09-21 |
| 1902946759 | Marianne Eva Vanvooren | Physician Assistant | 4376 7th St, Moline, IL 61265-6867 | 2007-02-08 |
| 1861406431 | Jennifer L Wilson | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6152 | 2006-07-28 |
| 1356300909 | Angela Schmieder | Physician Assistant | 525 Valley View Dr, Moline, IL 61265-6138 | 2006-03-22 |
| Find all providers in MOLINE | ||||
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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.