Patrick J Caskey, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G048761 Issued in CA

Practice address

3536 Mendocino Ave
Ste 380
Santa Rosa, CA 95403-3612

Phone

(707) 575-5353

Fax

(707) 523-7729

NPI assigned

May 24, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1164425914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033612",
            "telephone_number": "707-575-5353",
            "fax_number": "707-523-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033612",
            "telephone_number": "707-575-5353",
            "fax_number": "707-523-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASKEY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-06-23",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G048761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G4876100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180006567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve M Casey
• Linda Casey, MD
• Edward R Casilag, COTA/L
• Stephanie Casillas-Lopez, LMFT
• Carolyn Diane Caskey, MFT
• Monica Casler
• Elizabeth Cassanos, PH.D.
• John F. Cassidy, MD
• Thomas Allen Cassidy
• Jillian Castagnetta

• Ophthalmology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.