Individual provider Active NPI

Emmanual Dejesus Casiano, MD

  • Orthopaedic Surgery Physician
  • Miramar Beach, FL
National Provider Identifier
1518197946
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.026308 Issued in OH
Practice address
2072 Olde Towne Ave
Miramar Beach, FL 32550-4524
Phone
(850) 622-1035
Fax
(850) 622-1045
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.026308 OH Primary

Addresses

Primary practice location

2072 Olde Towne Ave
Miramar Beach, FL 32550-4524

Mailing address

2072 Olde Towne Ave
Miramar Beach, FL 32550-4524
Phone (850) 622-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.026308OHMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1518197946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 OLDE TOWNE AVE",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504524",
            "telephone_number": "850-622-1035",
            "fax_number": "850-622-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 OLDE TOWNE AVE",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504524",
            "telephone_number": "850-622-1035",
            "fax_number": "850-622-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIANO",
        "first_name": "EMMANUAL",
        "middle_name": "DEJESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.026308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.