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NPI Code Detail

MEDICARE: THOMAS JOSEPH CASEY MD

MEDICARE: THOMAS JOSEPH CASEY 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianM7896TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME142586FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942299177
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JOSEPH CASEY MD
Provider Business Mailing Address
First Line : PO BOX 681149
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78268-1149
Country : US
Telephone Number : 210-558-6288
Fax Number : 210-558-6289
Provider Business Practice Location Address
First Line : 1000 MAR WALT DR
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-6708
Country : US
Telephone Number : 850-863-7563
Fax Number : 850-315-7808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 02/23/2024

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