Provider Demographics
NPI:1558320945
Name:CASERIO, JAMES JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:CASERIO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25987207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC21572OtherBCBS
NC8921572Medicaid
NC202647BMedicare PIN
NC21572OtherBCBS
NC110014857Medicare PIN