Provider Demographics
NPI:1952379497
Name:CASEY, ANN CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CATHERINE
Last Name:CASEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2550 UNIVERSITY AVE W STE 110N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-2001
Mailing Address - Country:US
Mailing Address - Phone:651-602-5309
Mailing Address - Fax:651-222-6786
Practice Address - Street 1:6545 FRANCE AVE S STE 210
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2281
Practice Address - Country:US
Practice Address - Phone:952-928-2900
Practice Address - Fax:952-928-2944
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN48116207VG0400X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN438968900Medicaid
MN423G5CAOtherBLUE CROSS BLUE SHIELD MN
MN2388740OtherAMERICA'S PPO
WI34705500Medicaid
MN1044757OtherPREFERREDONE
MNHP56427OtherHEALTHPARTNERS
MN0704582OtherMEDICA
MN423G5CAOtherBLUE CROSS BLUE SHIELD MN
MN438968900Medicaid
MNHP56427OtherHEALTHPARTNERS