Casper Trey Webb, D.O.,P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

K3524 Issued in TX

Legal business name

CASPER TREY WEBB, D.O.,P.A.

Practice address

1910 W Henderson St
Suite 200
Cleburne, TX 76033-4144

Phone

(817) 774-9322

Fax

(817) 774-9323

NPI assigned

May 13, 2013

Last updated

May 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casper Trey Webb, D.O.

Title

President

Phone

(817) 774-9322

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1629414024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760330769",
            "telephone_number": "817-774-9322",
            "fax_number": "817-774-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W HENDERSON ST",
            "address_2": "SUITE 200",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334144",
            "telephone_number": "817-774-9322",
            "fax_number": "817-774-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASPER TREY WEBB, D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "CASPER",
        "authorized_official_middle_name": "TREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-774-9322",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K3524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010066348",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096960203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0084BQ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.