Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY CLARENCE CASSIDY, PA-C
Active Sole ProprietorGREGORY CLARENCE CASSIDY, PA-C is a Physician Assistant healthcare provider located in BEDFORD, Indiana. NPI 1548231202 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BEDFORD, IN
Registration Details
- NPI Number
- 1548231202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2006 (20.571851605798 yrs)
- Last Updated
- Aug 12, 2022
- Licenses
-
5601002063 (MI)10003359A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 16TH STBEDFORD, IN, 474213510Browse IN providers · Browse ZIP 47421
- Phone
- 8122764358
- Fax
- 8122751352
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BEDFORD, IN
| Name | Credential | NPI |
|---|---|---|
| WHITNEY GARNER | PA-C | 1144767138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.