Provider Demographics
NPI:1811933047
Name:CASEY, WILLIAM BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BARRY
Last Name:CASEY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EATON PL
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1232
Mailing Address - Country:US
Mailing Address - Phone:508-363-7100
Mailing Address - Fax:
Practice Address - Street 1:1 EATON PL
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1232
Practice Address - Country:US
Practice Address - Phone:508-363-7100
Practice Address - Fax:508-363-7170
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO448952085R0001X
MA2460192085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44485361Medicaid
NYF31425Medicare UPIN
COC806707Medicare PIN
COC806708Medicare PIN
COP00376320Medicare PIN