Kenneth Charles Casimir, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

42985-020 Issued in WI

Practice address

220 Washington Ave
Oshkosh, WI 54901-5030

Phone

(920) 236-4700

Fax

(920) 236-1157

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Winnebago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oshkosh, WI
  • NPI 1508960675
  Medicare reassignment NPD
• Winnebago County

  • Public Health or Welfare Agency
  • Winnebago, WI
  • NPI 1154318657
  NPD
• Catholic Charities Inc Diocese of Madison

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1932127735
  NPD (past)
• Catholic Charities Inc., Diocese of Madison

  • Mental Health Counselor
  • Madison, WI
  • NPI 1144702499
  NPD (past)
• Northstar Partnership

  • Mental Health Counselor
  • Madison, WI
  • NPI 1932279593
  NPD (past)
• Psychiatric Services SC

  • Psychiatry Physician
  • Madison, WI
  • NPI 1902098957
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1124046818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549015030",
            "telephone_number": "920-236-4700",
            "fax_number": "920-236-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549015030",
            "telephone_number": "920-236-4700",
            "fax_number": "920-236-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "42985-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34083200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christoper Carpenter
• Heather Carpenter, DDS
• Taylor Carpenter
• Julie Ann Cartwright, PTA
• Nancy S Casey, NP
• Tammi M Cassidy, LPC
• Steven Elton Cavness, PHD
• Quinta Caylor, RN
• Omar Ceesay
• Ayham Chamseddin, M.D.

• Psychiatry Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.