Individual
MR. TAD D. CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2246 O ST, LINCOLN, NE 68510-1121
(402) 476-1455
(402) 476-1670
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1692
NE
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
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
Enumeration date
03/14/2006
Last updated
08/05/2015
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