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CASEY ANTHONY MD NPI 1730669946


NPI Information

NPI: 1730669946
Provider Name: CASEY ANTHONY, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
221 3RD ST W
JBSA RANDOLPH, TX
ZIP 78150
Phone: (770) 597-1788
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Casey Anthony, MD is a general practice in Jbsa Randolph, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Casey Anthony, MD NPI is 1730669946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 3RD ST W
JBSA RANDOLPH, TX
ZIP 78150-800
Phone: (770) 597-1788

The enumeration date for this NPI number is 8/16/2018 and was last updated on 9/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208D00000XGeneral Practice0101276258VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.