Provider Demographics
NPI:1992819056
Name:JAMES J. CASERIO, M.D., PA
Entity type:Organization
Organization Name:JAMES J. CASERIO, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-692-5096
Mailing Address - Street 1:547 N JUSTICE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4251
Mailing Address - Country:US
Mailing Address - Phone:828-692-5096
Mailing Address - Fax:828-692-0453
Practice Address - Street 1:547 N JUSTICE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4251
Practice Address - Country:US
Practice Address - Phone:828-692-5096
Practice Address - Fax:828-692-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110014857OtherRAILROAD MEDICARE
NC21572OtherBCBS
NC8921572Medicaid
NC21572OtherBCBS
NC8921572Medicaid