Individual provider Active NPI

Frederick D Cason Jr., M.D.

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1073510772
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G45132 Issued in CA
Practice address
11373 Cortez Blvd Ste 208
Brooksville, FL 34613-5405
Phone
(352) 597-0224
Fax
(352) 597-0252
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35086364 OH
Surgery Physician 208600000X 2005019363 MO
Surgery Physician 208600000X 071217 GA
Surgery Physician 208600000X G45132 CA Primary
Surgery Physician 208600000X ME129329 FL

Addresses

Primary practice location

11373 Cortez Blvd Ste 208
Brooksville, FL 34613-5405

Mailing address

11373 Cortez Blvd Ste 208
Brooksville, FL 34613-5405
Phone (352) 597-0224

Other identifiers 2

IdentifierTypeStateIssuer
0031445428BMedicaidGA
003144542AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45132CAMDSurgery Physician
ME129329FLMDSurgery Physician
071217GAMDSurgery Physician
35086364OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Surgery Past Accepting new patients
Saint Lukes Physician Group II LLC Surgery Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1073510772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 208",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135405",
            "telephone_number": "352-597-0224",
            "fax_number": "352-597-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 208",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135405",
            "telephone_number": "352-597-0224",
            "fax_number": "352-597-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASON",
        "first_name": "FREDERICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35086364",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2005019363",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "071217",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G45132",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME129329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031445428B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003144542A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.