Male or Other

Dr. W Philip R. Casino MD

Interventional Cardiology Physician in Evansville, IN(View on Map)

Full Name

Dr. W Philip R Casino MD

NPI Number

1184621823

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/07/2005

Specialties

(Taxonomies)

Code

207RI0011X
207RC0000X

Primary Taxonomy

Yes
No

Licenses

State

Indiana
Kentucky

License Number

01047595A
33473

Contact
Information

Purpose

Mailing
Location

Address

901 SAINT MARYS DR STE 300
901 SAINT MARYS DR

City

Evansville
Evansville

State

IN
IN

Postal Code

47714-0521
47714-0520

Country

US
US

Telephone Number

N/A
(812) 473-2642

Identifiers

Identifier

33473
01047595A

Identifier State

KY
IN

Identifier Issuer

KY LICENSE
IN LICENSE

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

w.philip.casino.1@7598.direct.athenahealth.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

St Mary's Medical Group, LLC901 Saint Marys DrSuite 300Evansville, IN477140520US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/07/2022

Provider Address

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Male or Other

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