Organization Active NPI

Jason R. Casey, M.D., P.a.

  • Internal Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1104137652
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C7674 Issued in AR
Legal business name
JASON R. CASEY, M.D., P.A.
Practice address
901 Osler Dr
Suite B
Jonesboro, AR 72401-4390
Phone
(870) 931-7383
Fax
(870) 931-7353
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Authorized official

Name
Dr. Jason R. Casey, M.D.
Title
Owner
Phone
(870) 931-7383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C7674 AR Primary

Addresses

Primary practice location

901 Osler Dr
Suite B
Jonesboro, AR 72401-4390

Mailing address

PO Box 1800
Jonesboro, AR 72403-1800
Phone (870) 931-7383

Other identifiers 2

IdentifierTypeStateIssuer
121764001MedicaidAR
1164401394OtherARNPI (INDIVIDUAL)

National Provider Directory

National Provider Directory

Locations

901 Osler Dr
Ste B
Jonesboro, AR 72401
Phone (870) 931-7383

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297468800000",
    "number": "1104137652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031800",
            "telephone_number": "870-931-7383",
            "fax_number": "870-931-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OSLER DR",
            "address_2": "SUITE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014390",
            "telephone_number": "870-931-7383",
            "fax_number": "870-931-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. CASEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2011-02-12",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-931-7383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C7674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121764001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1164401394",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.