DOUGLAS K CASPERSON (NPI# 1336251610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336251610 |
Entity Type | Individual |
Full Name | DOUGLAS K CASPERSON |
Credential | PA-C |
Practice Address |
223 W Main Ste A Fairfield MT 59436-6503 |
Mailing Address |
Po Box 885 Fairfield MT 59436-0885 |
Practice Telephone | 4064672600 |
Practice Fax Number | 4064673210 |
Mailing Telephone | 4064672600 |
Mailing Fax Number | 4064673210 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2015-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
553 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | BLUE CROSS BLUE SHIELD | 1952467276 | 01 |
MT | 1952467276 | 05 |
Street Address |
223 W MAIN STE A |
City | FAIRFIELD |
State | MT |
Zip Code | 59436-6503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346500840 | Fairfield Medical Clinic LLP | Clinic/Center | 223 W Main, Fairfield, MT 59436-0885 | 2012-05-18 |
1952467276 | Stephanie L Catron | Nurse Practitioner | 223 W Main, Fairfield, MT 59436 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619341153 | Summit Counseling Services, Pllc | Community/Behavioral Health | 201 1st Ave N, Fairfield, MT 59436 | 2015-11-20 |
1932579794 | Megan Ann Burton | Counselor | 630 5th Ave North, Fairfield, MT 59436 | 2015-10-05 |
1336554203 | Front Range Assisted Living, Inc. | Assisted Living Facility | 615 5th Ave. North, Fairfield, MT 59436 | 2014-06-30 |
1508172750 | Valerie Loyce Anderson | Nurse Practitioner | 201 1st Ave North, Fairfield, MT 59436 | 2010-08-25 |
1194740928 | Grant Damon Poor | Physical Therapist | 15 6th St S, Fairfield, MT 59436 | 2006-07-13 |
1659768224 | Eagle Physical Therapy & Sports Med | Physical Therapist | 15 6th St S, Fairfield, MT 59436 | 2015-04-22 |
1083751978 | Fairfield Drug Inc | Durable Medical Equipment & Medical Supplies | 407 Central Ave, Fairfield, MT 59436 | 2007-01-31 |
1083751283 | Angela Dailey | Social Worker | 423 Central Ave, Fairfield, MT 59436 | 2007-01-30 |
1508172719 | Carmen Kay Staigmiller | Nurse Practitioner | 201 1st Nw Rd, Fairfield, MT 59436-0037 | 2010-08-25 |
1700144268 | Frontier Family Practice | Nurse Practitioner | 201 1st Ave North, Fairfield, MT 59436-0037 | 2012-05-02 |
Find all providers in zip 59436 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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1467639385 | Akosua Rodriguez | Physician Assistant | 2720 Low Ct Fl 2, Fairfield, CA 94534-9771 | 2008-01-22 |
1215061775 | Terrelyn C Fernandez | Physician Assistant | 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | 2007-03-15 |
1679618318 | Jennifer Chapman | Physician Assistant | 1801 Fairfield Beach Rd, Fairfield, CT 06824-6524 | 2007-02-20 |
1437142379 | Kayla Shaye Bell | Physician Assistant | 213 Nw 11th Street, Suite A, Fairfield, IL 62837 | 2005-08-25 |
1629513270 | Emily Elizabeth Helling | Physician Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2017-01-05 |
1821546607 | Danielle Marie Centone | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2016-09-21 |
1629431002 | Cassaundra Kalman Craig | Physician Assistant | 5390 Dixie Hwy, Fairfield, OH 45014-4124 | 2016-04-01 |
1457735540 | Emily Woodall | Physician Assistant | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2015-07-17 |
1750788253 | Brendan Stroz | Physician Assistant | 101 Bodin Cir, Fairfield, CA 94535 | 2014-11-26 |
Find all providers in FAIRFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.