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NPI Code Detail

MEDICARE: JENNIFER LYNN CASEY M.D.

MEDICARE:   JENNIFER LYNN CASEY  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
1207Q00000XFamily Medicine PhysicianME159307FL
2207Q00000XFamily Medicine Physician35.085472OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417040155
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN CASEY M.D.
Provider Business Mailing Address
First Line : 5156 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2424
Country : US
Telephone Number : 614-702-7655
Fax Number : 614-706-1770
Provider Business Practice Location Address
First Line : 5156 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2424
Country : US
Telephone Number : 614-702-7655
Fax Number : 614-706-1770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 10/29/2024

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Directions to “ JENNIFER LYNN CASEY M.D.” Practice Location

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