Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 04-17200 | KS |
Y | 2080P0205X | Pediatric Endocrinologist | 04-17200 | KS |
NPI | 1073622148 |
---|---|
Provider Name | James Lynn Casey |
First Address | Topeka, KS 66604-1301 |
Second Address | Topeka, KS 66604-1301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 27/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
068002097 | MEDICARE PTAN (01) | KS |
100085610B | (05) | KS |
100085610C | (05) | KS |
205142201 | (05) | MO |
27320011 | BCBS KANSAS CITY (01) | MO |
370017514 | RR MEDICARE (01) | |
610461 | FIRSTGUARD (01) | KS |
B69252 | (02) |