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Dr. Koth Michael Cassavaugh , PharmD

Pharmacist β€’ Auburn, NY

Active NPI 1164778015 Individual Practitioner Male Practitioner
Practice location in NPPES

17 Lansing St
Auburn, NY 130211983

Call 3152557296 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17 Lansing St

Auburn, NY 130211983

Telephone 3152557296
Fax 3152557307
Organization at the Same NPPES Address or Phone
Auburn Community Hospital Facility NPI 1093712911

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Auburn and New York

42 active clinicians are listed under Pharmacist with a practice address in Auburn, NY (22,966 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Auburn

0% of these 42 clinicians have the CMS telehealth indicator.

0% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NY 046277

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Amy Arliss , RN, MSN, FNP-BC

Nurse Practitioner - Family

NPI 1306385257

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. George Ben , MD

Internal Medicine

NPI 1881011252

Doctor of Medicine (M.D.)

Scott Biter , PA-C

Physician Assistant - Medical

NPI 1417980392

Physician Assistant (Certified)

Abigail Borkowski , PA-C

Physician Assistant

NPI 1477223907

Physician Assistant (Certified)

NPI 1295754612

Doctor of Osteopathic Medicine (D.O.)

Noah Davis , PA-C

Physician Assistant

NPI 1265796577

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location September 13, 2018

Registered at 17 LANSING ST, AUBURN, NY 130211983 (Tel: 3152557296)

βœ…
NPI Profile Active July 30, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 30, 2012

Registered at 736 IRVING AVE, SYRACUSE, NY 132101687 (Tel: 3154708061)

πŸ“
Business Mailing Address (Initial Record) July 30, 2012

Registered at 736 IRVING AVE, SYRACUSE, NY 132101687 (Tel: 3154708061)

πŸ‘€
Provider Name / Credentials (Initial Record) July 30, 2012

Recorded as KOTH CASSAVAUGH, PHARM.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2012

Pharmacist (license number reported to NPPES: NY 046277)

🟒
Initial NPI Registration & Enumeration July 30, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164778015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2012
Last Update: September 13, 2018
Sole Proprietor: No

Mailing Address

736 Irving Ave

Syracuse, NY 132101687

Phone: 3154708061

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.