Active NPI
Frederick D Cason Jr., M.D.
- Surgery Physician
- Brooksville, FL
National Provider Identifier
1073510772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G45132
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031445428B | Medicaid | GA | |
| 003144542A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G45132 | CA | MD | Surgery Physician |
| ME129329 | FL | MD | Surgery Physician |
| 071217 | GA | MD | Surgery Physician |
| 35086364 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Saint Lukes Physician Specialists LLC
- Surgery Physician
- Kansas City, MO
- NPI 1750335337
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.