DR. ROSALIE ANDREA CASTILLO (NPI# 1265415590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265415590 |
| Entity Type | Individual |
| Full Name | DR. ROSALIE ANDREA CASTILLO |
| Credential | DO |
| Practice Address |
347th Medical Group, 3278 Mitchell Blvd Valdosta GA 31699 |
| Practice Telephone | 2295575542 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 219425 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
347TH MEDICAL GROUP, 3278 MITCHELL BLVD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771876 | Aldo Enrique Revilla | Psychologist | Bermiss Rd, Moody Afb, Valdosta, GA 31699 | 2017-10-13 |
| 1699903146 | Elizabeth L Fauber | Military Health Care Provider | 9551 Luke Street, Apo, AP 31699 | 2009-06-23 |
| 1063646230 | James Michael White | Military Health Care Provider | 3278 Mithell Blvd, Bldg. 900, Moody Afb, GA 31699 | 2009-05-04 |
| 1902379555 | Amber Leigh Tordoff | Student in an Organized Health Care Education/Training Program | 23d Medical Group 3278 Mitchell Blvd, Building 900, Apo, AA 31699 | 2019-01-07 |
| 1083147367 | Jordan Robbins | Dentist | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2017-04-04 |
| 1912350877 | Sandra H Stuart | Dietitian, Registered | 3278 Mitchell Blvd, 23d Medical Group, Valdosta, GA 31699 | 2016-07-15 |
| 1407293418 | Clayton Lively | Psychiatry & Neurology | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2013-05-30 |
| 1174899371 | Vincent Casey Allen Jr. | Psychologist | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2012-04-01 |
| 1518364678 | Rachel Collins | Specialist/Technologist | 23 Mdos Sgoy, 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2014-12-04 |
| 1083988356 | Brock Allen Mcnabb | Social Worker | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2012-03-02 |
| Find all providers in zip 31699 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760793178 | Frantz E Felix | Family Medicine | 3879 Island Creek Rd, Valdosta, GA 31601-0189 | 2010-06-30 |
| 1598084386 | Laura Guadiana | Family Medicine | 3374 Greystone Way, Valdosta, GA 31605-1096 | 2010-05-19 |
| 1912138116 | Parrott Medical Clinic PC | Family Medicine | 804 Northwood Park Dr, Valdosta, GA 31602-1392 | 2009-08-05 |
| 1184854226 | Quality Group Service Inc | Family Medicine | 3338 Country Club Rd Ste L, Ste. 200, Valdosta, GA 31605-7425 | 2009-07-23 |
| 1720224298 | Southern Skin & Wellness Center | Family Medicine | 3321 N Valdosta Rd Ste B, Valdosta, GA 31602-1685 | 2009-01-05 |
| 1356559801 | Raymond Avery Moody IIi | Family Medicine | 3567 Val-tech Rd., Valdosta State Prison, Valdosta, GA 31602 | 2007-05-18 |
| 1033234315 | Jeri Lynn Sheffield | Family Medicine | 3548b Northcrossing Cir, Valdosta, GA 31602-1067 | 2007-03-19 |
| 1154401107 | Vera C Garcia | Family Medicine | 4370 Kings Way Ste E, Valdosta, GA 31602 | 2006-10-16 |
| 1629177324 | Jennetta M Christie | Family Medicine | 2317 Bemiss Rd, Valdosta, GA 31602-1934 | 2006-09-21 |
| 1831107234 | Marian Antoinette Patterson | Family Medicine | 3790 Old Us Highway 41 N Ste A, Bldg N, Valdosta, GA 31602-6865 | 2006-08-03 |
| Find all providers in VALDOSTA | ||||
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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.