DR. TANYA DEREWECKA CASTELINO


Address: 75 Beekman St, Plattsburgh, NY 12901-1438
Phone: 5185612000

DR. TANYA DEREWECKA CASTELINO (NPI# 1700418274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700418274
Entity Type Individual
Full Name DR. TANYA DEREWECKA CASTELINO
Credential MD
Practice Address 75 Beekman St
Plattsburgh
NY 12901-1438
Mailing Address 220 Chemin Du Golf
#117
Verdun
QUEBEC H3E 2A7
CA
Practice Telephone 5185612000
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 302286 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
133 Park St, Malone, NY 129531244 5184833000

Office Location

Street Address 75 BEEKMAN ST
City PLATTSBURGH
State NY
Zip Code 12901-1438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962407205 Robert L. Eberle Anesthesiology 75 Beekman St, Plattsburgh, NY 12901-1438 2005-06-14
1962001974 Julie Sona Lumingu Otolaryngology 75 Beekman St, Plattsburgh, NY 12901-1438 2020-10-21
1346876885 Rebecca Gem Heywood Registered Nurse 75 Beekman St, Plattsburgh, NY 12901-1438 2020-03-17
1255965315 Justine Elizabeth Rotz Occupational Therapist 75 Beekman St, Plattsburgh, NY 12901-1438 2020-02-27
1013556406 Troy Edward Canada Occupational Therapist 75 Beekman St, Plattsburgh, NY 12901-1427 2020-01-02
1881235422 Kimberly Ann Branham Nurse Practitioner 75 Beekman St, Plattsburgh, NY 12901-1438 2019-10-04
1528624129 Stacy Lynn Goodroe Registered Nurse 75 Beekman St, Plattsburgh, NY 12901-1438 2019-05-20
1336602085 Emma Deshaies Occupational Therapist 75 Beekman St, Plattsburgh, NY 12901-1438 2019-04-10
1477015519 Brittany Marshall Physician Assistant 75 Beekman St, Plattsburgh, NY 12901-1427 2019-04-05
1861958720 Tara Bombard Nurse Practitioner 75 Beekman St, Plattsburgh, NY 12901-1438 2019-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284721 Get Movin Inc Non-emergency Medical Transport (VAN) 316 Cornelia St, 21a, Plattsburgh, NY 12901 2018-11-26
1528536141 Inmaculada Ibanez-casas Technician Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 2018-11-13
1760950372 Martha R Wasserbauer Dietetic Technician, Registered Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 2018-11-13
1568958411 Joel Cherian Student in an Organized Health Care Education/Training Program 159 Margaret St Ste 100, Plattsburgh, NY 12901 2018-07-03
1396284477 Florence Reynaud Acupuncturist 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 2017-02-22
1124565783 Mytchel Hector Registered Nurse 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 2017-01-20
1780136697 Michael Bruso Psychologist 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 2016-10-26
1902357536 Ashley Patricia Cota Nurse Practitioner 214 Cornelia St., Plattsburgh, NY 12901 2016-10-19
1255703310 Kenneth Wayne Ackley Licensed Practical Nurse 16 Ampersand Drive, Plattsbugh, NY 12901 2015-10-28
1275949448 Shanni Lee Hicks Specialist 63 Arnold Rd, Plattsburgh, NY 12901 2014-07-08
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063673523 Driss Hassam Surgery 8 Coastland Drive, Plattsburgh, NY 12901-6384 2008-06-18
1699984989 Lisa Ann Mark Surgery 214 Cornelia St Ste 203, Plattsburgh, NY 12901-2306 2007-05-22
1295950558 Spyros Peter Angelos Surgery 40 Sunnyside Rd, Plattsburgh, NY 12901-7023 2007-04-13
1063536886 Elena Boland Surgery 214 Cornelia St Ste 102, Plattsburgh, NY 12901-2306 2007-03-19
1154391316 Bijoy Sarmaroy Surgery 52 Court St, Plattsburgh, NY 12901-2832 2006-01-23
1235426024 Zachary A. Kanouse Surgery 214 Cornelia St Ste 102, Plattsburgh, NY 12901-2332 2011-06-30
1356593727 Bijoy B Sarmaroy, Md PC Surgery 52 Court St, Plattsburgh, NY 12901-2832 2008-10-16
1245492842 Brian David Henry Surgery 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2317 2008-06-26
1386718021 John Mcauliffe Surgery 206 Cornelia St, Suite 309, Plattsburgh, NY 12901-2779 2006-11-17
1619927407 Stuart M. Hoffman Surgery 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2317 2006-05-11
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Competitor

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City PLATTSBURGH
Zip Code 12901

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Dataset Information

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.

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