MEDICARE: DR. THOMAS EUGENE CASHERO MD

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	208600000X	Surgery Physician	16765	OK
2	207P00000X	Emergency Medicine Physician	16765	OK

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	:	1902868821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EUGENE CASHERO MD

Provider Business Mailing Address
First Line	:	90 N 30TH ST STE 3
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 N 30TH ST
Second Line	:	SUITE 3
City	:	CLINTON
State	:	OK
Zip	:	73601-3100
Country	:	US
Telephone Number	:	580-323-1665
Fax Number	:	580-323-1656

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	09/03/2019

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