Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD047193 | DC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD047193 | DC |
NPI | 1811330996 |
---|---|
Provider Name | Nicholas Dyson Casscells |
First Address | Washington, DC 20007-2113 |
Second Address | Washington, DC 20007-2113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 14/08/2019 |