Provider Demographics
NPI:1457356586
Name:CASSCELLS, CHRISTOPHER D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:D
Last Name:CASSCELLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GLASGOW AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5703
Mailing Address - Country:US
Mailing Address - Phone:302-832-6220
Mailing Address - Fax:302-832-6226
Practice Address - Street 1:2600 GLASGOW AVE.
Practice Address - Street 2:SUITE 104
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5703
Practice Address - Country:US
Practice Address - Phone:302-832-6220
Practice Address - Fax:302-832-6226
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10002723207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0089828000OtherPERSONAL CHOICE
DE203178646OtherDEVON
DE203178646OtherTRICARE/CHAMPUS
DE205178646OtherHIGHMARK BCBS DE
DE0089828000OtherAMERIHEALTH/KEYSTONE
DE610983600OtherUS DEPT OF LABOR
DE0089828000OtherINDEPENDENCE ADMINISTRATOR
DE0000088501Medicaid
DE203178646OtherCIGNA
DE203178646OtherGEISINGER HEALTH PLAN
DE4268685OtherAETNA
DE203178646OtherCORVEL/CORECARE
DE203178646OtherUNITED HEALTHCARE
DE0089828000OtherAMERIHEALTH ADMINISTRATORS
DE0089828000OtherINDEPENDENCE BC
DE203178646OtherTRICARE/CHAMPUS
DE4268685OtherAETNA
DE610983600OtherUS DEPT OF LABOR
DEC48713Medicare UPIN
DEP00270250Medicare ID - Type UnspecifiedRAILROAD MEDICARE