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Contact Information

MICHAEL J CASEY, MD
1707 W CHARLESTON BLVD
#160
LAS VEGAS, NV89102-2351
 Phone: 702-671-5150
 Fax: 702-384-6493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL J CASEY · (Male)

NPI # 1689615262
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 12333
  • WA License # MD60484880
  • NV Other 12333 MEDICAL LICENSE
  • NV Other CS14261 PHARMACY CERTIFICATE
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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