Provider Demographics
NPI:1255382644
Name:CASPER, JAMES T (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:CASPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:PEDIATRIC BONE MARROW TRANSPLANT
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-456-4170
Mailing Address - Fax:414-456-6543
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:PEDIATRIC BONE MARROW TRANSPLANT
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-456-4170
Practice Address - Fax:414-456-6543
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2012-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI175752080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
002000112EOtherHUMANA
WI1255382644Medicaid
WI73601 2310Medicare PIN
0001507520Medicare ID - Type Unspecified
B51983Medicare UPIN