Dr. Jacques Michael Casparian
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
4101 S 4th St Leavenworth Va Hospital
Leavenworth
, Kansas 66048-5014
Dr. Jacques Michael Casparian
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
4101 S 4th St Leavenworth Va Hospital
Leavenworth
, Kansas 66048-5014
(913) 946-1517
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Jacques Michael Casparian
- Leavenworth Vamc 4101 S. 4th St. Trafficway
- Leavenworth, KS
- Zip : 66048
- Fax : (913) 946-1517
- Phone : (913) 682-2000
Second Address
- Dr. Jacques Michael Casparian
- 4101 S 4th St Leavenworth Va Hospital
- Leavenworth, KS
- Zip : 66048-5014
- Fax : (913) 946-1517
- Phone : (913) 682-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 0425322 | KS |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 0425322 | KS |
| N | 207NS0135X | Procedural Dermatology | 0425322 | KS |
National Provider Identifier
| NPI | 1164489282 |
|---|---|
| Provider Name | Dr. Jacques Michael Casparian |
| First Address | Leavenworth, KS 66048 |
| Second Address | Leavenworth, KS 66048-5014 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 11/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD000 | (02) | KS |
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.