Individual
DR. CASEY JOHN JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 WILMINGTON AVE, NEW CASTLE, PA 16105
(724) 658-9001
Mailing address
1211 WILMINGTON AVE, NEW CASTLE, PA 16105
(724) 658-9001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101029301
VA
207P00000X
Emergency Medicine Physician
01066085A
IN
207P00000X
Emergency Medicine Physician
28215
WV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2006028599
MO
208000000X
Pediatrics Physician
01066085A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164459657
—
VA
05
—
1164459657
—
WV
Enumeration date
06/28/2006
Last updated
12/28/2023
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