MICHAEL DOMINIC CASTRO (NPI# 1679505044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679505044 |
| Entity Type | Individual |
| Full Name | MICHAEL DOMINIC CASTRO |
| Credential | DO |
| Practice Address |
2090 Woodwinds Dr Woodbury MN 55125-2522 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685801 |
| Practice Fax Number | 6519685899 |
| Mailing Telephone | 6519685042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 005096 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
43871 | MN | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
005096 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 342593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043326325 | Michael D Castro | Chiropractor | 8 Medical Pkwy Ste 208, Dallas, TX 75234-7842 | 2006-08-21 |
| 1558324905 | Michael J Castro | Pathology | Memorial Medical Ctr, 701 North 1st Street, Springfield, IL 62781-0001 | 2006-04-07 |
| 1306834338 | Michael P Castro | Internal Medicine | 10001 Venice Blvd Apt 402, Los Angeles, CA 90034-7439 | 2005-10-13 |
| 1104440312 | Michael E Castro | Radiology | 1818 121st St Se, Everett, WA 98208-5985 | 2020-06-03 |
| 1942823794 | Michael Castro | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-05-27 |
| 1790141026 | Michael Ralph Castro | Chiropractor | 300 N Middletown Rd, Ste 2, Pearl River, NY 10965-1262 | 2015-12-31 |
| 1841675360 | Michael Castro | Optometrist | 1720 S Ww White Rd, San Antonio, TX 78220-4760 | 2015-07-26 |
| 1316145261 | Michael Paul Castro | Registered Nurse | 10921 Cherry St Ste 100, Los Alamitos, CA 90720-2473 | 2007-07-03 |
| 1437180320 | Michael N Castro | Dermatology | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2006-07-06 |
| 1639170293 | Michael Castro | Internal Medicine | 18275 N 59th Ave, Ste 138, Glendale, AZ 85308-1260 | 2005-08-04 |
| Street Address |
2090 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538137732 | Amy Stromwall Beacom | Emergency Medicine | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2006-03-14 |
| 1659928703 | Austin Moore | Physical Therapist | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2019-08-23 |
| 1962965848 | Molly Michelle Mullee | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2019-04-09 |
| 1306312814 | Sarah Renee Wittak | Occupational Therapist | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2018-10-23 |
| 1124517677 | Joshua Allan Albarado | Occupational Therapist | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2018-05-09 |
| 1013458009 | Abby Mohr | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2017-03-10 |
| 1366898371 | William Thompson | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2016-05-09 |
| 1598125817 | Nathan L Reimnitz | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2016-02-29 |
| 1861851172 | Anthony J Sterk | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2016-02-15 |
| 1386025187 | Alex Villano | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003076365 | Scott Jonathan Koenig | Orthopaedic Surgery | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2008-06-11 |
| 1942498225 | Tracy D Rupke | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242979 | Jessica M Downes | Orthopaedic Surgery | 701 Park Ave B, Henepin County Medical Center, Minneapolis, MN 55415 | 2008-04-17 |
| 1609872159 | Lance Michael Silverman | Orthopaedic Surgery | 6600 France Ave S, Ste 605, Edina, MN 55435-1807 | 2005-06-21 |
| 1780882662 | John Clinton Tanner IIi | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-03 |
| 1730390238 | Jeffrey Daniel Seybold | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2007-05-25 |
| 1891729000 | Johannes Christiaan Coetzee | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-07-11 |
| 1154390417 | Dennis John Callahan | Orthopaedic Surgery | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-03-17 |
| 1912984915 | Ross Paskoff | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2005-12-30 |
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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.