DR. THADDAEUS R CASTANEDA (NPI# 1710920897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710920897 |
| Entity Type | Individual |
| Full Name | DR. THADDAEUS R CASTANEDA |
| Credential | M.D. |
| Practice Address |
143 S. John Sims Prkwy Valparaiso FL 32580 |
| Mailing Address |
143 S John Sims Pkwy Valparaiso FL 32580-1271 |
| Practice Telephone | 8507293300 |
| Practice Fax Number | 8507293100 |
| Mailing Telephone | 8507293300 |
| Mailing Fax Number | 8507293100 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME97507 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2777061 00 | 05 |
| Street Address |
143 S. JOHN SIMS PRKWY |
| City | VALPARAISO |
| State | FL |
| Zip Code | 32580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902254 | Miriam Rodriguez | Dentist | Ignacio Zaragoza #1015, Col. Salvarcar, Juarez, CHIHUAHUA 32580 | 2016-02-19 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1255389938 | Neil Baker Nipper | Family Medicine | 350 Jackson Circle, Valparaiso, FL 32580 | 2006-05-04 |
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1093769788 | Larissa Nicole Tenzycki | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2006-05-19 |
| 1518590546 | Growing Green Families, Pllc | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2020-02-18 |
| 1255635348 | Annette Brabham Od Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2011-01-04 |
| 1477853364 | C S Peters Od, Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2010-10-26 |
| 1902990161 | C S Peters | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2006-10-03 |
| 1972792240 | Mary Catherine Brogdon | Licensed Practical Nurse | 379 Edge Ave, Valparaiso, FL 32580-1033 | 2007-10-23 |
| Find all providers in zip 32580 | ||||
| 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 |
|---|---|---|---|---|
| 1710435094 | Mid-america Mental Health LLC | Family Medicine | 402 Wall St., Ste 23, Valparaiso, IN 46383-2567 | 2016-09-15 |
| 1265826887 | Gerald Ronneau | Family Medicine | 92 E 700 N, Valparaiso, IN 46383-8908 | 2015-03-20 |
| 1427477413 | Christopher Michael Osan | Family Medicine | 3800 Saint Mary Rd Ste 205, Valparaiso, IN 46383-3986 | 2014-04-07 |
| 1578790481 | Bernadette A Obmaces | Family Medicine | 3800 St Mary Dr, Suite 204, Valparaiso, IN 46383-7502 | 2009-06-18 |
| 1770748717 | Derek Scott Gasper | Family Medicine | 1101 Glendale Blvd Ste 102a, Valparaiso, IN 46383-3767 | 2008-07-18 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1093937963 | Emerald Coast Family Medicine Inc | Family Medicine | 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 | 2007-05-02 |
| 1770518664 | Sudhakar Garlapati | Family Medicine | 401 Wall St, Valparaiso, IN 46383-2521 | 2006-07-11 |
| 1174562656 | Joel Mark Schumacher | Family Medicine | 1105 Cumberland Xing, Valparaiso, IN 46383-2356 | 2006-06-06 |
| 1255384855 | Tikiri Ratnayake | Family Medicine | 1910 Calumet Ave, Valparaiso, IN 46383-2704 | 2006-05-18 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 32580 |
Please comment or provide details below to improve the information on DR. THADDAEUS R CASTANEDA.
| 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.