# MR. TAD D. CASPER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174592059
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1692 | NE | Yes |
| 363A00000X | Physician Assistant | AP2099 | MA | — |
| 363A00000X | Physician Assistant | PA00387 | RI | — |
| 363AM0700X | Medical Physician Assistant | AP2099 | MA | — |
| 363AM0700X | Medical Physician Assistant | PA00387 | RI | — |
| 363AS0400X | Surgical Physician Assistant | AP2099 | MA | — |
| 363AS0400X | Surgical Physician Assistant | PA00387 | RI | — |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 08/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025024300 | — | NE |
| 05 | — | 10025024400 | — | NE |
| 05 | — | 10026451700 | — | NE |
| 05 | — | 10026466400 | — | NE |
| 05 | — | 10026476700 | — | NE |
| 05 | — | 10026494200 | — | NE |