Timothy Casey DPM PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

016-004717 Issued in IL

Legal business name

TIMOTHY CASEY DPM PC

Practice address

1790 Nations Dr Ste 106
Gurnee, IL 60031-9175

Phone

(847) 360-1330

Fax

(847) 360-9271

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Casey, D.P.M.NPI 1427040542

Title

President

Phone

(847) 360-1330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Timothy J Casey, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
  • NPI 1427040542
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1366639130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR STE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319175",
            "telephone_number": "847-360-1330",
            "fax_number": "847-360-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR STE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319175",
            "telephone_number": "847-360-1330",
            "fax_number": "847-360-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY CASEY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-360-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "016-004717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa S Thompson, M.D.
• Lynda Throm
• Tien C. Cheng, MD,SC
• Michael Timins, MD
• Irina Timoshevskaya, PA-C
• Timothy L. Straka D.D.S., L.L.C.
• Timothy V Erdle DMD PLLC (Institute of Dental Implants and Periodontics)
• Claudia Tiwet, MD
• Neda Zergollern Tkalcevic, MD
• Matthew J Tobkin, DDS

• Durable Medical Equipment & Medical Supplies in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.