Individual
MICHAEL THOMAS CASNELLIE
Active
Individual
MICHAEL THOMAS CASNELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
39494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0343740001
MEDICARE DME GRP #
KY
01
—
2448515000
PASSPORT ADVANTAGE
KY
01
—
50007360
PASSPORT
KY
01
—
50040105
PASSPORT HEALTH-NORTON LEATHERMAN SPINE
KY
05
—
64104706
—
KY
01
—
771665
ANTHEM- NORTON LEATHERMAN SPINE
KY
01
—
K046980
MEDICARE- NORTON LEATHERMAN SPINE
KY
01
—
P00314315
RAILROAD MEDICARE
KY
Enumeration date
07/22/2005
Last updated
07/29/2021
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