Samuel Joseph Casella, M.D.

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

11410 Issued in NH

Practice address

1 Medical Center Dr
Department of Pediatrics
Lebanon, NH 03756-1000

Phone

(603) 653-9877

Fax

(603) 650-0907

NPI assigned

Jul 31, 2006

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: scasella11603@direct.dartmouth-hitchcock.org

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1386650323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DEPT OF PEDIATRICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-9877",
            "fax_number": "603-650-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELLA",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NH",
            "license": "11410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008187",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201721",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Carter, NURSE PRACTITIONER
• Nadine B Carter, NP
• Vincent D Caruana, MD
• Laurie Anne Carver, CRNA
• Sean Joseph Casavant, RPH
• Andrew Casey
• Rebecca Ann Casey, APRN
• Nicholas Casler, MD
• Ilana Cass, M.D.
• Amy Louise Cassingham, PA-C

• Pediatric Endocrinology Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Pediatric Endocrinology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.