DR. JOHN RICHARD CASUCCIO M.D. NPI 1477523967

NPI Information

NPI: 1477523967
Provider Name: DR. JOHN RICHARD CASUCCIO, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
2000 FOUNDATION WAY STE 3650
MARTINSBURG, WV
ZIP 25401
Phone: (304) 350-3274
Get Directions

DR. John Richard Casuccio, M.D. is a pediatric surgery surgery in Martinsburg, WV. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. John Richard Casuccio, M.D. NPI is 1477523967. 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:

2000 FOUNDATION WAY STE 3650
MARTINSBURG, WV
ZIP 25401-197
Phone: (304) 350-3274
Fax: (304) 350-3404

The NPI 1477523967 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 1/25/2006 and was last updated on 1/8/2015.

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	208200000X	Plastic Surgery		0101042197	VIRGINIA	No
2	2086S0120X	Surgery	Pediatric Surgery	12657	WEST VIRGINIA	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	WV4267B987	MEDICARE PIN	WEST VIRGINIA
2	B08277	MEDICARE UPIN	VIRGINIA
3	3810011293	MEDICAID	WEST VIRGINIA

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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