CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C. (NPI# 1104851823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104851823 |
| Entity Type | Organization |
| Organization Name | CASTLE ORTHOPAEDICS & SPORTS MEDICINE, S.C. |
| Practice Address |
2111 Ogden Ave Aurora IL 60504 |
| Practice Telephone | 6309783800 |
| Practice Fax Number | 6308623086 |
| Mailing Telephone | 6309783800 |
| Mailing Fax Number | 6308623086 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-01-12 |
| Authorized Official Name | KATIE WAEGNER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6309783800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 042005445 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036055572 | 05 |
| Street Address |
2111 OGDEN AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831185859 | David Jay Maaske | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2005-09-26 |
| 1538719596 | Nathan R Zinzer | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2019-09-12 |
| 1053879668 | Alexander Anooshah | Nurse Practitioner | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2019-03-04 |
| 1225515273 | Renee Bergstrom | Registered Nurse | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2018-07-23 |
| 1538616693 | Rush-copley Orthopedics, LLC | Physical Medicine & Rehabilitation | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-09-07 |
| 1962959296 | Rush-copley Surgicenter, LLC | Clinic/Center | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-09-02 |
| 1891151676 | Ryan Lifka | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-01-08 |
| 1629407812 | Sharon Schwarzbauer | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-11-07 |
| 1699100503 | Castle Orthopaedics and Sports Medicine | Registered Nurse | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-09-10 |
| 1861827040 | Wayne Blume | Registered Nurse | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
| 1891236253 | Dwight Swift | Specialist | 7568 S Quatar Way, Aurora, CO 80016-7119 | 2017-03-17 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1447604244 | Heather Brox | Specialist | 6155 S Main St # E101, Aurora, CO 80016-5363 | 2016-04-18 |
| 1902262900 | Nakeisha Hill | Specialist | 3587 S Joplin St, Aurora, CO 80013-2432 | 2016-01-06 |
| 1770967986 | Amber Medina | Specialist | 17784 E Arizona Pl, Aurora, CO 80017-4313 | 2015-07-17 |
| 1659754687 | Kathleem Brough | Specialist | 3718 S Himalaya Way, Aurora, CO 80013-6621 | 2015-07-08 |
| 1598147688 | Sarah Gleason | Specialist | 1224 Ironton St, Aurora, CO 80010-3415 | 2015-06-24 |
| 1174903819 | Moses Abraha | Specialist | 950 S Cimarron Way Apt K201, Aurora, CO 80012-4980 | 2015-06-08 |
| 1821496225 | Carla Potvin | Specialist | 6066 S Shawnee St, Aurora, CO 80015-4585 | 2014-12-17 |
| Find all providers in AURORA | ||||
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| 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.