Casey Distaso
Emergency Physician
3601 The Vanderbilt Clinic
Nashville
, Tennessee 37232-0001
Casey Distaso
Emergency Physician
3601 The Vanderbilt Clinic
Nashville
, Tennessee 37232-0001
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Casey Distaso
- 719 Thompson Ln Ste 30330
- Nashville, TN
- Zip : 37204-4701
- Phone :
Second Address
- Casey Distaso
- 3601 The Vanderbilt Clinic
- Nashville, TN
- Zip : 37232-0001
- Phone : (615) 322-3000
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FAQs
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In what state does Casey Distaso practice in?
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Is Casey Distaso a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 125.072192 | IL |
| Y | 207P00000X | Emergency Physician | 62985 | TN |
National Provider Identifier
| NPI | 1003311747 |
|---|---|
| Provider Name | Casey Distaso |
| First Address | Nashville, TN 37204-4701 |
| Second Address | Nashville, TN 37232-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2018 |
| Last Update Date | 20/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.