Mr. Jason W Caswell
Physician Assistant

Address: 15476 Dedeaux Rd, Gulfport, MS 39503-2637
Phone: 2282302663

Mr. Jason W Caswell (NPI# 1932522281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1932522281
Entity Type Individual
Full Name Mr. Jason W Caswell
Credential PA
Gender Male
Practice Address 15476 Dedeaux Rd
Gulfport
MS 39503-2637
Practice Telephone 2282302663
Practice Fax Number 2285463257
Mailing Address 6300 E Lake Blvd Ste 301
Vancleave
MS 39565-6771
Mailing Telephone 2282302663
Mailing Fax Number 2285463257
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2014-01-22
Last Update Date 2020-01-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA00199 MS
No 363AS0400X Physician Assistant · Surgical Physician Assistants & Advanced Practice Nursing Providers PA00199 MS

Secondary Practice Locations

Address Telephone Number Fax Number
15476 Dedeaux Rd, Gulfport, MS 395032637 2282302663 2285463257
1720a Medical Park Dr Ste 220, Biloxi, MS 395322127 2283929355 2285463257

Providers with the same name

NPI Name Taxonomy Address Enumeration
1376773994 Jason Harrison Caswell Family Medicine 820 E 17th St, Cheyenne, WY 82001-4714 2009-07-16

Physician Overview

NPI 1932522281
PAC ID by PECOS 0143459180
Professional Enrollment ID I20140214001240
Full Name Jason Wayne Caswell
Organization Legal Name THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Phone Number 6623281012
Gender M
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5890751945
Number of Group Practice Members 27
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250100 BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC
251302 MONROE REGIONAL HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 94%
ACI_EC_TRANS_HIE_1 Health Information Exchange 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 69%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 9%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 8%
ACI_EC_TRANS_SM_1 Secure Messaging 1%
ACI_EC_TRANS_EP_1 e-Prescribing 94%
ACI_EC_TRANS_HIE_1 Health Information Exchange 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 69%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 9%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 8%
ACI_EC_TRANS_SM_1 Secure Messaging 1%

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598301632 Daniel Edward Bloom Physician Assistant Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 2019-11-25
1801446000 Joshua Mcniel Physician Assistant 4533 13th St, Gulfport, MS 39501-2516 2019-09-19
1083158307 Wesley Armstrong Physician Assistant 15200 Community Rd, Gulfport, MS 39503-3085 2016-12-05
1497207591 Jared Castro Physician Assistant 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 2016-10-25
1740533280 Barbra Ellen Jablanski Physician Assistant 11295 E Taylor Rd, Gulfport, MS 39503 2012-10-22
1669722799 Jamie Lynne Dubeck Physician Assistant 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 2012-09-17
1508143546 Emily Anne Burger Physician Assistant 11295 E Taylor Rd, Gulfport, MS 39503-4197 2011-11-04
1649552563 Taylor E. Covington Physician Assistant 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2011-09-16
1427349885 Jamie Olsen Williams Physician Assistant 15200 Community Rd, Gulfport, MS 39503-3085 2011-04-20
1245567775 Kassie Stafford Physician Assistant 11295 E Taylor Rd, Gulfport, MS 39503-4197 2009-11-04
Find all providers in GULFPORT

Office Location

Street Address 15476 DEDEAUX RD
City GULFPORT
State MS
Zip Code 39503-2637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558462218 Eric J Graham Specialist 15476 Dedeaux Rd, Gulfport, MS 39503-2637 2006-09-26
1043812225 Samantha C Pierce Occupational Therapist 15476 Dedeaux Rd, Gulfport, MS 39503-2637 2020-11-12
1669006102 Alyssa Morgan Zelenka Occupational Therapist 15476 Dedeaux Rd, Gulfport, MS 39503-2637 2020-02-24
1427507037 Ophelia Abrahams Occupational Therapist 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 2016-09-23
1417340514 Denese H Dapito Occupational Therapist 15476 Dedeaux Rd, Gulfport, MS 39503-2637 2015-03-12
1578951240 Nicole Lynn Johnson Registered Nurse 15476 Dedeaux Rd, Gulfport, MS 39503-2637 2015-01-05
1609163682 Joseph Tyler Cox Orthopaedic Surgery 15476 Dedeaux Rd, Gulfport, MS 39503 2011-06-29
1689804668 Bienville Orthopaedic Specialists, LLC Orthopaedic Surgery 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 2009-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013515451 Gulf Coast Neurospa, LLC Psychiatry & Neurology 8845 Lorraine Road, Gulfport, MS 39503 2020-10-16
1447865985 Nicholas Wyrosdick Physical Therapist 12261 Us 49 #1, Gulfport, MS 39503 2020-09-11
1750935169 Ladner Roy Drugs, LLC. Pharmacy 12261 Us 49 Suite 16, Gulfport, MS 39503 2019-07-25
1528559440 Alexander Therapy Services, LLC Speech-Language Pathologist 15465 Oak Ln Ste 100c, Gulfport, MS 39503 2018-05-25
1750879003 Heather Lynn Theisen Nurse Practitioner 15190 Community Rd Ste 330, Gulfport, MS 39503 2018-04-23
1083101216 Gulf Coast Mental Health Center Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 15094 County Barn Road, Gulfport, MS 39503 2018-04-13
1306343173 Dr. Raymond Monsour Scurfield, LLC Community/Behavioral Health 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 2018-04-09
1952817157 Mary Beth Welch Behavior Analyst 9230 Old Lorraine Rd, Gulfport, MS 39503 2017-12-26
1831603257 Beach View Family Dental, Pllc Dentist 9072 Lorraine Road, Gulfport, MS 39503 2017-11-21
1437677721 Mary Stephens Ruffin Social Worker 11262 Creek Dr, Gulfport, MS 39503 2017-09-07
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Competitor

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City GULFPORT
Zip Code 39503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.