KEITH ANDREW CASPER (NPI# 1932310224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932310224 |
| Entity Type | Individual |
| Full Name | KEITH ANDREW CASPER |
| Credential | MD |
| Practice Address |
1500 E Medical Center Drive 1st Floor Taubman Ctr Recp A Ann Arbor MI 48109-5312 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349368051 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 4301091474 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 35093032 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2956556 | 05 | |
| KY | 7100080700 | 05 | |
| IN | 200954230 | 05 | |
| OH | MEDICARE PTAN | 4267123 | 01 |
| Street Address |
1500 E MEDICAL CENTER DRIVE 1ST FLOOR TAUBMAN CTR RECP A |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016805 | Barbara Rose Van Kainen | Midwife | 1500 E Medical Center Drive, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109-4256 | 2005-07-14 |
| 1598372716 | Stephen Kofi Wemakor | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-09-30 |
| 1073138707 | Brigit Devine Baglien | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2020-06-09 |
| 1598388605 | Madison Veronica Epperson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109-5312 | 2020-05-22 |
| 1811510175 | Nathan Emery Loudon | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1 502, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-21 |
| 1770106304 | Drew Jackson Braet | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 5346 Cvc Spc 5967, Ann Arbor, MI 48109 | 2020-05-18 |
| 1710509872 | Lawrence Jordan Breyfogle | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1d530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-12 |
| 1649891631 | Apoorv Dhir | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1659992741 | Kristian Marquis Black | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1972124063 | Jake Claflin | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881782308 | Melissa Ann Pynnonen | Otolaryngology | 380 Parkland Plaza, 2nd Floor Suite 210, Ann Arbor, MI 48103-6201 | 2006-10-10 |
| 1902293129 | Hassan Ben Nasser | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-04-26 |
| 1922492164 | Andrew Phillip Stein | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-03-25 |
| 1144637893 | Natalie S Justicz | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-07-15 |
| 1518370469 | Rosh Kumar Viasha Sethi | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-09 |
| 1598175572 | Shannon Flynn Rudy | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-04-30 |
| 1598102881 | Michelle Mizhi Chen | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-05-28 |
| 1497190599 | Christopher Michael Welch | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-05-02 |
| 1114266426 | Allen Lee Feng | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-02-06 |
| 1801157060 | Andrew Joseph Rosko | Otolaryngology | 1500 East Medical Center Dr, 1st Floor Taubman Center Recp A, Ann Arbor, MI 48109-5312 | 2012-06-05 |
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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.