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NPI Code Detail

MEDICARE: ADAM CASSIS MD

MEDICARE: ADAM CASSIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianA116616CA
2207Y00000XOtolaryngology Physician23189WV
3207YX0901XOtology & Neurotology Physician58576AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407052236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM CASSIS MD
Provider Business Mailing Address
First Line : 9097 E DESERT COVE AVE STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6280
Country : US
Telephone Number : 480-273-8510
Fax Number : 480-214-9933
Provider Business Practice Location Address
First Line : 225 S DOBSON RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6274
Country : US
Telephone Number : 480-558-5306
Fax Number : 480-558-5307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 09/15/2020

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Directions to “ ADAM CASSIS MD” Practice Location

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