Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD11549 | OR |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD11549 | OR |
NPI | 1285658187 |
---|---|
Provider Name | Michael J Casey |
First Address | Klamath Falls, OR 97601-1106 |
Second Address | Klamath Falls, OR 97601-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 11/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040592 | (05) | OR |
052966000 | BLUE CROSS (01) | OR |
0848590001 | NORIDIAN DME (01) | OR |
200018994 | RAILROAD MEDICARE (01) | OR |
93114697897601 | TRICARE (01) | OR |
AC8515100 | DEA (01) | OR |
C94113 | (02) | OR |
XPY113700 | MEDI-CAL (01) | CA |