MEDICARE: CASIMIR R STARSIAK DO

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
1	207X00000X	Orthopaedic Surgery Physician	02000726A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000639283	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	P01424273	OTHER	IN	RAIL ROAD PTAN

General Provider Information

NPI Number	:	1366446783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASIMIR R STARSIAK DO

Provider Business Mailing Address
First Line	:	5555 SPICEBUSH DR STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-9632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3660 GUION RD
Second Line	:	STE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-1697
Country	:	US
Telephone Number	:	317-644-5005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	04/12/2023

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Directions to “ CASIMIR R STARSIAK DO” Practice Location

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