Provider Demographics
NPI:1588918270
Name:KASS, JOHN CLAUDE D (LCSA)
Entity type:Individual
Prefix:MR
First Name:JOHN CLAUDE
Middle Name:D
Last Name:KASS
Suffix:
Gender:M
Credentials:LCSA
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Mailing Address - Street 1:42035 GUARDFISH WAY
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-6456
Mailing Address - Country:US
Mailing Address - Phone:571-479-9511
Mailing Address - Fax:
Practice Address - Street 1:42035 GUARDFISH WAY
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-6456
Practice Address - Country:US
Practice Address - Phone:571-479-9511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3634OtherNATIONAL SURGICAL ASSISTANT ASSOCIATION