Active NPI
Larry Allen Caserta, MD
- Obstetrics & Gynecology Physician
- Barboursville, WV
National Provider Identifier
1912961525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 09978
- Practice address
- 104 Meadow Pointe
Barboursville, WV 25504-9209 - Phone
- (304) 525-5405
- Fax
- (304) 525-3400
- NPI assigned
- Apr 12, 2006
- Last updated
- Nov 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 09978 | WV | Primary |
Addresses
Primary practice location
104 Meadow Pointe
Barboursville, WV 25504-9209
Mailing address
104 Meadow Pointe
Barboursville, WV 25504-9209
Phone (304) 525-5405
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000028532 | Other | BCBS | |
| 0091392000 | Medicaid | WV | |
| 7893 | Other | WV | ACORDIA |
Other names 1
- Dr. Larry Allen Caserta
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1912961525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MEADOW POINTE",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255049209",
"telephone_number": "304-525-5405",
"fax_number": "304-525-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MEADOW POINTE",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255049209",
"telephone_number": "304-525-5405",
"fax_number": "304-525-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASERTA",
"first_name": "LARRY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "09978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000028532",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091392000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACORDIA",
"identifier": "7893",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LARRY",
"last_name": "CASERTA",
"middle_name": "ALLEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.