Active NPI
Philip W Caster MD and John P Caster MD LLC
- Family Medicine Physician
- Lebanon, MO
National Provider Identifier
1265594477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHILIP W CASTER MD AND JOHN P CASTER MD LLC
- Practice address
- 732 S Madison Ave
Lebanon, MO 65536-3591 - Phone
- (417) 532-9161
- Fax
- (417) 532-8360
- NPI assigned
- Dec 14, 2006
- Last updated
- Aug 22, 2020
- 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. Philip W Caster, MD
- Title
- Owner
- Phone
- (417) 532-9161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
732 S Madison Ave
Lebanon, MO 65536-3591
Mailing address
732 S Madison Ave
Lebanon, MO 65536-3591
Phone (417) 532-9161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI1939 | Other | MO | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lebanon, MO
- NPI 1518924141
-
- Internal Medicine Physician
- Springfield, MO
- NPI 1902849854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265594477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 S MADISON AVE",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363591",
"telephone_number": "417-532-9161",
"fax_number": "417-532-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 S MADISON AVE",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363591",
"telephone_number": "417-532-9161",
"fax_number": "417-532-8360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP W CASTER MD AND JOHN P CASTER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CASTER",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-532-9161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI1939",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.