DR. JOHN RICHARD CASUCCIO (NPI# 1477523967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477523967 |
| Entity Type | Individual |
| Full Name | DR. JOHN RICHARD CASUCCIO |
| Credential | M.D. |
| Practice Address |
2000 Foundation Way Ste 3650 Martinsburg WV 25401-9197 |
| Mailing Address |
2500 Foundation Way Martinsburg WV 25401-9000 |
| Practice Telephone | 3043503274 |
| Practice Fax Number | 3043503404 |
| Mailing Telephone | 3042649202 |
| Mailing Fax Number | 3042649042 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 0101042197 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
12657 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810011293 | 05 |
| Street Address |
2000 FOUNDATION WAY STE 3650 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-9197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798799 | Deborah Louise Albert | Surgery | 830 Pennsylvania Ave Ste 202, Charleston, WV 25302-3389 | 2005-05-24 |
| 1881031557 | Integrated Health Care Providers, Inc. | Surgery | 830 Pennsylvania Ave, Suite 305, Charleston, WV 25302-3302 | 2013-06-04 |
| 1720185101 | Robert Gustafson | Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-09-20 |
| 1275501231 | John E. Dinsmore | Surgery | 1600 Medical Center Dr, Suite 2500, Huntington, WV 25701-3656 | 2006-03-08 |
| 1346234937 | Nicholas Shorter | Surgery | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2005-09-09 |
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on DR. JOHN RICHARD CASUCCIO.
| 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.