Cindy L Casey, DO
Individual provider Active NPI Diagnostic Radiology Physician · Jasper, IN
NPI 1619977337 · NPPES record last updated Dec 2, 2010
Key facts
- NPI
- 1619977337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 02001200A (IN)
- Practice address
- 721 W 13TH St
Jasper, IN 47546-1817 - Phone
- (812) 481-2240
- Fax
- (812) 481-2241
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001200A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Co Phy Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02001200A | IN | Yes |
Addresses
Primary practice location
721 W 13TH St
Jasper, IN 47546-1817
Mailing address
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 482-0655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100117280A | Medicaid | IN | |
| 300084409 | Other | IN | TRAVELERS MEDICARE # |
| 000000092679 | Other | IN | ANTHEM PROVIDER # |
Other providers in Jasper, IN
- Leslie Buxton
- Tina Marie Byrd
- Marc W Campbell
- Meredith Lynn Carnes
- Meghan R Carroll
- Steven Casper
- Kodi Deshell Kay-Lynn Catt
- Arianna Mae Cavazos
- Roy Elliott Cecchi
- Kajori Chakravorty
All providers in Jasper, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.