LUIS J CASTRO (NPI# 1336104900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336104900 |
| Entity Type | Individual |
| Full Name | LUIS J CASTRO |
| Credential | MD |
| Practice Address |
321 Gifford St St Joseph's Primary Care Center West Syracuse NY 13204-3201 |
| Mailing Address |
104 Union Ave Ste 804 Syracuse NY 13203-1844 |
| Practice Telephone | 3157032600 |
| Practice Fax Number | 3157032621 |
| Mailing Telephone | 3157035049 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2080361 | NY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 2080361 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02002922 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015117 | Luis Castro | Respiratory Therapist, Registered | Corner Or Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-21 |
| 1396902789 | Luis Gumersindo Castro | Family Medicine | 8200 Sw 117 Ave, Suite 100, Miami, FL 33183-4382 | 2008-05-22 |
| 1083119952 | Luis Normando Castro | Counselor | 8000 S Orange Ave Ste 111, Orlando, FL 32809-6747 | 2018-03-24 |
| 1609385814 | Luis V Castro | Physical Therapist | 746 E Fifteenth St, Yazoo City, MS 39194-2706 | 2017-09-20 |
| 1891801833 | Luis Castro | Family Medicine | 1832 W Sunset Blvd, Los Angeles, CA 90026-3227 | 2006-08-22 |
| 1679587893 | Luis Jeronimo Castro | Transplant Surgery | 2900 Whipple Ave, Suite 140, Redwood City, CA 94062-2851 | 2006-07-27 |
| Street Address |
321 GIFFORD ST ST JOSEPH'S PRIMARY CARE CENTER WEST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710339452 | Christine Dec | Nurse Practitioner | 321 Gifford St, Syracuse, NY 13204-3201 | 2016-07-06 |
| 1891176624 | Jessica Wilcox | Family Medicine | 321 Gifford St, Syracuse, NY 13204 | 2015-06-17 |
| 1710380076 | Rachel E. Rombough | Nurse Practitioner | 321 Gifford St, Syracuse, NY 13204-3201 | 2014-10-01 |
| 1467852889 | Lisa Anne Yarah | Nutritionist | 321 Gifford St, Syracuse, NY 13204-3201 | 2014-09-04 |
| 1194168922 | Linda Caroline Bartlett | Nurse Practitioner | 321 Gifford St, Family Medicine, Syracuse, NY 13204-3201 | 2013-04-11 |
| 1245584101 | Marino Odeng Mauro | Physician Assistant | 321 Gifford St, Primary Care Center West, Syracuse, NY 13204-3201 | 2012-10-30 |
| 1417278912 | Erika Hegland | Family Medicine | 321 Gifford St, Primary Care, Syracuse, NY 13204-3201 | 2010-06-18 |
| 1659469856 | Helen Mary Oneill | Nurse Practitioner | 321 Gifford St, Syracuse, NY 13204-3201 | 2006-10-11 |
| 1952415747 | Joanne B Lavigne | Registered Nurse | 321 Gifford St, Pediatrics, Syracuse, NY 13204-3201 | 2006-08-18 |
| 1366490039 | Lisaann Gaffney | Pediatrics | 321 Gifford St, Syracuse, NY 13204-3201 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1104451848 | Gianna of Syracuse Medical Pllc | Family Medicine | 127 Chapel Dr., Syracuse, NY 13219-1919 | 2020-03-03 |
| 1235616210 | Shelby Lynn Sharp | Family Medicine | 90 Presidential Plz Ste 5010, Syracuse, NY 13202-2240 | 2018-07-23 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1891932596 | Marc Iqbal | Family Medicine | 5606 Bear Rd, Syracuse, NY 13212-1648 | 2009-01-16 |
| 1205073483 | Paul Peter Stobnicke | Family Medicine | 504 Winkworth Pkwy, Syracuse, NY 13215-1554 | 2009-01-09 |
| 1700070216 | Douglas Ahn Md Pllc | Family Medicine | 739 Irving Ave Ste 510, Syracuse, NY 13210-1663 | 2007-08-29 |
| 1114133402 | Maryellen Cathleen Lewis | Family Medicine | 216 Seymour St, Syracuse, NY 13204-3208 | 2007-05-15 |
| 1346320140 | Jack Prow Clark | Family Medicine | 518 Ems D15 Ln, Syracuse, IN 46567-8026 | 2006-10-16 |
| 1457445744 | Frank Raymond Sharf | Family Medicine | 745 S 2000 W, Syracuse, UT 84075-9621 | 2006-10-03 |
| 1740392927 | Warsaw Health System, LLC | Family Medicine | 808 S Huntington St, Syracuse, IN 46567-1810 | 2006-08-31 |
| Find all providers in SYRACUSE | ||||
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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.