Active NPI
Thierry Casimir, PA
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1265206239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10087
- Practice address
- 1865 N Higley Rd Apt 2005
Mesa, AZ 85205-3333 - Phone
- (919) 440-6347
- NPI assigned
- Nov 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10087 | AZ | Primary |
Addresses
Primary practice location
1865 N Higley Rd Apt 2005
Mesa, AZ 85205-3333
Mailing address
113 Fallin Blvd Apt C2
Goldsboro, NC 27534-4368
Phone (919) 440-6347
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10087 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1265206239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 FALLIN BLVD APT C2",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275344368",
"telephone_number": "919-440-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 N HIGLEY RD APT 2005",
"city": "MESA",
"state": "AZ",
"postal_code": "852053333",
"telephone_number": "919-440-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASIMIR",
"first_name": "THIERRY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.