MR. JASON W CASWELL (NPI# 1932522281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932522281 |
| Entity Type | Individual |
| Full Name | MR. JASON W CASWELL |
| Credential | PA |
| Practice Address |
15476 Dedeaux Rd Gulfport MS 39503-2637 |
| Mailing Address |
6300 E Lake Blvd Ste 301 Vancleave MS 39565-6771 |
| Practice Telephone | 2282302663 |
| Practice Fax Number | 2285463257 |
| Mailing Telephone | 2282302663 |
| Mailing Fax Number | 2285463257 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00199 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00199 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15476 Dedeaux Rd, Gulfport, MS 395032637 | 2282302663 | 2285463257 |
| 1720a Medical Park Dr Ste 220, Biloxi, MS 395322127 | 2283929355 | 2285463257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376773994 | Jason Harrison Caswell | Family Medicine | 820 E 17th St, Cheyenne, WY 82001-4714 | 2009-07-16 |
| Street Address |
15476 DEDEAUX RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558462218 | Eric J Graham | Specialist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2006-09-26 |
| 1669006102 | Alyssa Morgan Zelenka | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2020-02-24 |
| 1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
| 1417340514 | Denese H Dapito | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-03-12 |
| 1578951240 | Nicole Lynn Johnson | Registered Nurse | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-01-05 |
| 1609163682 | Joseph Tyler Cox | Orthopaedic Surgery | 15476 Dedeaux Rd, Gulfport, MS 39503 | 2011-06-29 |
| 1689804668 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1801446000 | Joshua Mcniel | Physician Assistant | 4533 13th St, Gulfport, MS 39501-2516 | 2019-09-19 |
| 1083158307 | Wesley Armstrong | Physician Assistant | 15200 Community Rd, Gulfport, MS 39503-3085 | 2016-12-05 |
| 1497207591 | Jared Castro | Physician Assistant | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2016-10-25 |
| 1740533280 | Barbra Ellen Jablanski | Physician Assistant | 11295 E Taylor Rd, Gulfport, MS 39503 | 2012-10-22 |
| 1669722799 | Jamie Lynne Dubeck | Physician Assistant | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2012-09-17 |
| 1508143546 | Emily Anne Burger | Physician Assistant | 11295 E Taylor Rd, Gulfport, MS 39503-4197 | 2011-11-04 |
| 1649552563 | Taylor E. Covington | Physician Assistant | 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 | 2011-09-16 |
| 1427349885 | Jamie Olsen Williams | Physician Assistant | 15200 Community Rd, Gulfport, MS 39503-3085 | 2011-04-20 |
| 1245567775 | Kassie Stafford | Physician Assistant | 11295 E Taylor Rd, Gulfport, MS 39503-4197 | 2009-11-04 |
| Find all providers in GULFPORT | ||||
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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.