Active NPI
Jason R. Casey, M.D., P.a.
- Internal Medicine Physician
- Jonesboro, AR
National Provider Identifier
1104137652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C7674
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121764001 | Medicaid | AR | |
| 1164401394 | Other | AR | NPI (INDIVIDUAL) |
National Provider Directory
National Provider DirectoryLocations
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.