NPIMap

Organization Active NPI

Jerome P. Casey DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Archbald, PA
National Provider Identifier
1336478338
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002702L Issued in PA
Legal business name
JEROME P. CASEY DPM PC
Practice address
401 Church St
Archbald, PA 18403-2101
Phone
(570) 876-1440
Fax
(570) 876-0556
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Jerome P Casey, DPMNPI 1053309716
Title
Podiatrist
Phone
(570) 876-1440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC002702L PA Primary

Addresses

Primary practice location

401 Church St
Archbald, PA 18403-2101

Mailing address

401 Church St
Archbald, PA 18403-2101
Phone (570) 876-1440

Other identifiers 4

IdentifierTypeStateIssuer
17369OtherPAGEISINGER
817221OtherPAFIRST PRIORITY HEALTH
0009895800001MedicaidPA
3184931OtherPAAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1336478338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184032101",
            "telephone_number": "570-876-1440",
            "fax_number": "570-876-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184032101",
            "telephone_number": "570-876-1440",
            "fax_number": "570-876-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME P. CASEY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "570-876-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002702L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "17369",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "817221",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009895800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3184931",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbald, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.