Healthcare Provider Details
I. General information
NPI: 1063861102
Provider Name (Legal Business Name): SEAN CASKEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2016
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
520 N CHELAN AVE
WENATCHEE WA
98801-6697
US
IV. Provider business mailing address
820 N CHELAN AVE
WENATCHEE WA
98801-2028
US
V. Phone/Fax
- Phone: 509-662-8756
- Fax:
- Phone: 509-663-8711
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | OP61282583 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | OP61282583 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: