Individual
MR. MICHAEL G. CASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N SHORE DR, JEFFERSONVILLE, IN 47130
(812) 207-2092
(812) 284-5083
Mailing address
PO BOX 6924, LOUISVILLE, KY 40206-0924
(812) 207-2092
(812) 284-5083
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01053504A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01053504A
IN
208VP0014X
Interventional Pain Medicine Physician
06295R
LA
208VP0014X
Interventional Pain Medicine Physician
22779
KY
208VP0014X
Interventional Pain Medicine Physician
8073
HI
208VP0014X
Interventional Pain Medicine Physician
ME90486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317233
ANTHEM
—
Enumeration date
10/11/2005
Last updated
10/29/2018
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