MEDICARE: ANTHONY JOHN CASELLA 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
1	207RC0000X	Cardiovascular Disease Physician	43917	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1538169289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY JOHN CASELLA M.D.

Provider Business Mailing Address
First Line	:	14119 E MILTON CT
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85262-6602
Country	:	US
Telephone Number	:	480-683-2843
Fax Number	:

Provider Business Practice Location Address
First Line	:	14119 E MILTON CT
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85262-6602
Country	:	US
Telephone Number	:	480-683-2842
Fax Number	:

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	11/09/2025

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