Provider Demographics
NPI:1407848757
Name:BITTENBENDER, CASSANDRA M (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:M
Last Name:BITTENBENDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2315 GREEN VALLEY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4649
Mailing Address - Country:US
Mailing Address - Phone:812-945-2100
Mailing Address - Fax:812-945-9495
Practice Address - Street 1:2315 GREEN VALLEY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4649
Practice Address - Country:US
Practice Address - Phone:812-945-2100
Practice Address - Fax:812-945-9495
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01051531A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN080176602OtherINDIANA RAILROAD PROV#
KY352154103AOtherHUMANA PROV#
KY64124753Medicaid
IN0102147OtherUNITED HEALTHCARE PROV #
IN200242060Medicaid
IN000000206337OtherANTHEM PROV#