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NPI Code Detail

MEDICARE: DR. GREGORY C KASPER M.D.

MEDICARE: DR. GREGORY C KASPER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician35-07-2613-KOH
22086S0129XVascular Surgery PhysicianME173884FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103988OTHEROHPARAMOUNT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245232602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY C KASPER M.D.
Provider Business Mailing Address
First Line : 3100 WESTON RD
Second Line :
City : WESTON
State : FL
Zip : 33331-3602
Country : US
Telephone Number : 419-340-3511
Fax Number :
Provider Business Practice Location Address
First Line : 3100 WESTON RD
Second Line :
City : WESTON
State : FL
Zip : 33331-3602
Country : US
Telephone Number : 866-320-4573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/25/2025

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