DR. JOSE ADENAUER CASTIBLANCO (NPI# 1356654529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356654529 |
| Entity Type | Individual |
| Full Name | DR. JOSE ADENAUER CASTIBLANCO |
| Credential | DPM |
| Practice Address |
94 Connecticut Blvd East Hartford CT 06108-3013 |
| Mailing Address |
Po Box 269 Harrison NY 10528-0269 |
| Practice Telephone | 8605281359 |
| Practice Fax Number | 8605285180 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000930 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
006624 | NY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00320800 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
94 CONNECTICUT BLVD |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326049172 | Cynthia Goetz | Advanced Practice Midwife | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2005-08-02 |
| 1639788227 | Sarah Dottor | Social Worker | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2020-07-29 |
| 1265068365 | Stacie Meisner | Physician Assistant | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2020-03-20 |
| 1184257701 | Nathalie Marie Mcconnell | Advanced Practice Midwife | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2020-02-21 |
| 1124669437 | Alison Howard | Registered Nurse | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2019-10-08 |
| 1538700422 | Araceli Garcia | Registered Nurse | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2019-10-02 |
| 1043866809 | Konstantia Evangelia Papapateras | Dietitian, Registered | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2019-08-16 |
| 1013577147 | Sheila Ann Sutton | Registered Nurse | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2019-06-20 |
| 1538644471 | Desiree Nicole Outlaw | Dentist | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2018-09-26 |
| 1790262079 | Ritika Bansal | Dentist | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295760742 | Jeffrey D Martone | Podiatrist | 11 Central Ave, East Hartford, CT 06108-3102 | 2006-07-12 |
| 1407851165 | Samuel Berkowitz | Podiatrist | 99 Ash St, East Hartford, CT 06108-3226 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
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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.