Jerome Fitzgerald Kasle, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301029475 Issued in MI

Practice address

701 S Ballenger Hwy
Flint, MI 48532-3804

Phone

(810) 238-3603

Fax

(810) 767-5194

NPI assigned

Sep 7, 2005

Last updated

Nov 6, 2009By 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

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1689668519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASLE",
        "first_name": "JEROME",
        "middle_name": "FITZGERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301029475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERMENT SERVIC",
            "identifier": "5587790001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4861868",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Karrer
• Stephanie S Karrick, PHARM.D
• Nikolet Karroca
• Jayanthi Karthikeyan, MD
• Criscia Nicole Kasem, LLP
• Rachael A Kasperowicz, MD
• Maureen Maria Kaspetrus
• Larry I Kassel, DDS
• Khalil A. Katato, M.D.
• Joshua Aaron Katchka

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.