Individual provider Active NPI

Casey Gene Sheck, D.O.

  • Plastic Surgery Physician
  • Wilmington, NC
National Provider Identifier
1447679709
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2024-02003 Issued in NC
Practice address
1122 Medical Center Dr
Wilmington, NC 28401-7305
Phone
(910) 338-5900
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2024-02003 NC Primary
Plastic Surgery Physician 208200000X 25MB10570400 NJ

Addresses

Primary practice location

1122 Medical Center Dr
Wilmington, NC 28401-7305

Mailing address

1122 Medical Center Dr
Wilmington, NC 28401-7305
Phone (910) 338-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221003002806 NJ Practitioner - Plastic and Reconstructive Surgery 6103202858 Reassigns benefits to 1 organization
I20240909004264 NC Practitioner - Plastic and Reconstructive Surgery 6103202858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Belle Vie Plastic Surgery PCGroup PAC ID 4880930692, 2 clinicians

Practice addresses (Care Compare)

1122 Medical Ctr Dr
Wilmington, NC 28401-7305
Phone (910) 338-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10570400NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Belle Vie Plastic Surgery PC Plastic Surgery CurrentSince Sep 3, 2024 Accepting new patients

Locations

1122 Medical Center Dr
Wilmington, NC 28401
Phone (910) 338-5900

Interoperability endpoints

  • Direct secure messaging: csheck@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1447679709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-338-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017305",
            "telephone_number": "910-338-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECK",
        "first_name": "CASEY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2024-02003",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MB10570400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.