DR. ANDREW CECIL CASTRODALE (NPI# 1689661712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689661712 |
| Entity Type | Individual |
| Full Name | DR. ANDREW CECIL CASTRODALE |
| Credential | MD |
| Practice Address |
411 Fortuyn Rd Grand Coulee WA 99133-8718 |
| Practice Telephone | 5096331753 |
| Practice Fax Number | 5096331930 |
| Mailing Telephone | 5096331911 |
| Mailing Fax Number | 5096333193 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00034115 | WA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD00034115 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8221715 | 05 | |
| L AND I | 133946 | 01 |
| Street Address |
411 FORTUYN RD |
| City | GRAND COULEE |
| State | WA |
| Zip Code | 99133-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838703 | David Martin Brown | Nurse Anesthetist, Certified Registered | 411 Fortuyn Rd, Coulee Community Hospital, Grand Coulee, WA 99133-8718 | 2005-08-15 |
| 1144725664 | Amy Anne Haden | Registered Nurse | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2018-03-27 |
| 1639689748 | Cheney Owl Pharmacy Inc | Pharmacy | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2017-10-03 |
| 1982050779 | Leah G Kobes | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-05-11 |
| 1003274614 | Anna Hardesty | Physical Therapist | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-02-10 |
| 1740653807 | Kathleen Christine Henry | Physician Assistant | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-11-10 |
| 1255709614 | Melissa Stanley | Registered Nurse | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-09-02 |
| 1134516933 | Jennifer Knox | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-04-20 |
| 1780080515 | Jacie L Van Blaricom | Dietitian, Registered | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-11-05 |
| 1538589023 | Marilynn Holman | Psychiatry & Neurology | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754468 | Alexander Chhun Tor | Pharmacist | 320 Midway Ave., Grand Coulee, WA 99133 | 2020-03-06 |
| 1093081333 | Cara Turner | Pharmacist | 320 Midway Avenue, Grand Coulee, WA 99133 | 2012-03-30 |
| 1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
| 1295909448 | Jg Pepperd Dc Pllc | Chiropractor | 400 Burdin Blvd, Grand Coulee, WA 99133 | 2008-04-18 |
| 1629171616 | Galen Neal Schmidt | Optometrist | 407 Burdin Blvd., Grand Coulee, WA 99133 | 2006-09-06 |
| 1841230489 | Lesa Eiffert | Counselor | 322 Fortuyn Rd, Grand Coulee, WA 99133 | 2006-06-08 |
| 1578919700 | Real Vision, Inc | Optometrist | 407 Burdin Blvd, Grand Coulee, WA 99133 | 2016-05-06 |
| 1255770020 | Kyle M. Gillespie, O.d., Ltd. | Optometrist | 407 Burdin Blvd, Grand Coulee, WA 99133 | 2013-06-14 |
| 1568716975 | Kai Scott | Physical Therapist | 321 Burdin Boulevard, Grand Coulee, WA 99133 | 2012-11-07 |
| 1972657328 | Kelly J Prather | Physical Therapist | 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 | 2007-01-23 |
| Find all providers in zip 99133 | ||||
| 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 |
|---|---|---|---|---|
| 1982050779 | Leah G Kobes | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-05-11 |
| 1134516933 | Jennifer Knox | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-04-20 |
| 1376962852 | Adam Fields Mcconnell | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-04-10 |
| 1073698973 | Norman E Staley | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133 | 2006-10-26 |
| 1275572521 | Roy Allen Myers | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2006-06-05 |
| 1811983562 | Jacob Petersen Chaffee | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
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| City | GRAND COULEE |
| Zip Code | 99133 |
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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.