Healthcare Provider Details

I. General information

NPI: 1144334566
Provider Name (Legal Business Name): MURRAY J. CASEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 01/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N 30TH ST STE 4700
OMAHA NE
68131-2137
US

IV. Provider business mailing address

PO BOX 642117
OMAHA NE
68164-8117
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-0909
  • Fax: 402-717-6069
Mailing address:
  • Phone: 402-398-6254
  • Fax: 402-829-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number17893
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: