Provider Demographics
NPI:1265597082
Name:GARY H. CASSEL, M.D.,P.A.
Entity type:Organization
Organization Name:GARY H. CASSEL, M.D.,P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CASSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-215-9020
Mailing Address - Street 1:8415 BELLONA LANE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-828-9270
Mailing Address - Fax:410-321-0124
Practice Address - Street 1:23 CROSSROADS DR STE 310
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5478
Practice Address - Country:US
Practice Address - Phone:410-581-1500
Practice Address - Fax:104-581-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD24345207W00000X
207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD327591400Medicaid
CA9262OtherRR MEDICARE
MD281531100OtherMAMD
RRMCCA9262OtherRAILROAD MEDICARE
MDKV69RUOtherBCBSMD
MD233LMedicare PIN
T59943Medicare UPIN
MD281531100OtherMAMD
MD327591400Medicaid