Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Koch

Individual provider Physician Assistant · NPI 1679310098

Cassidy Koch is a Physician Assistant in Taunton, Massachusetts. Qualified in 2024, 2 years ago. Practices with Revere Medical of Massachusetts PC, a 113-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2005 Bay St Ste 201
Taunton, MA 02780-1085
Phone: (508) 822-2266
Fax: (508) 823-5689
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Pleasant Valley Rd, Sutton, MA 01590-2970 — (508) 426-9005

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1679310098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address2005 Bay St Ste 201, Taunton, MA 02780-1085

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Revere Medical Of Massachusetts Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Taunton