Provider Demographics
NPI:1174063382
Name:WARD, CASEY ROSS (PA-C)
Entity type:Individual
Prefix:MR
First Name:CASEY
Middle Name:ROSS
Last Name:WARD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:79 WOODFIN PL STE 208
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2495
Mailing Address - Country:US
Mailing Address - Phone:828-333-7850
Mailing Address - Fax:
Practice Address - Street 1:79 WOODFIN PL STE 208
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2495
Practice Address - Country:US
Practice Address - Phone:828-333-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07078363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant