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General NPI Number Information
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NPI Number | 1669811238
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Entity Type | Individual
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Provider Name | MICHAEL DOUGLAS CASIMIR MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 2900 12TH AVE N STE 205W
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City | BILLINGS
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State | MT
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Zip | 59101-7520
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Country | US
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Telephone | 631-379-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 248 ROUTE 25A STE 37
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City | SETAUKET
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State | NY
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Zip | 11733-2954
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Country | US
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Telephone | 631-379-2104
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME161939
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 295005
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 270678
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 80614
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License Number State | MT
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