MR. TAD D. CASPER PA-C NPI 1174592059

NPI Information

NPI: 1174592059
Provider Name: MR. TAD D. CASPER, PA-C
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: HEARTLAND URGENT CARE LP

PECOS Registration: Yes

Address:
2246 O ST
LINCOLN, NE
ZIP 68510
Phone: (402) 476-1455
Get Directions

MR. Tad D. Casper, PA-C is a family medicine in Lincoln, NE with 19 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Tad D. Casper, PA-C NPI is 1174592059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2246 O ST
LINCOLN, NE
ZIP 68510-121
Phone: (402) 476-1455
Fax: (402) 476-1670

The NPI 1174592059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/5/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		AP2099	MASSACHUSETTS	No
2	363A00000X	Physician Assistant		PA00387	RHODE ISLAND	No
3	363AM0700X	Physician Assistant	Medical	AP2099	MASSACHUSETTS	No
4	363AM0700X	Physician Assistant	Medical	PA00387	RHODE ISLAND	No
5	363AS0400X	Physician Assistant	Surgical	AP2099	MASSACHUSETTS	No
6	363AS0400X	Physician Assistant	Surgical	PA00387	RHODE ISLAND	No
7	207Q00000X	Family Medicine		1692	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	10026476700	MEDICAID	NEBRASKA
2	10025024400	MEDICAID	NEBRASKA
3	10026466400	MEDICAID	NEBRASKA
4	10026451700	MEDICAID	NEBRASKA
5	10025024300	MEDICAID	NEBRASKA
6	10026494200	MEDICAID	NEBRASKA

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: 11/14/2023

NPI Synchronization or Removal

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