MARIO EDUARDO CASTELLANOS (NPI# 1902009251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902009251 |
| Entity Type | Individual |
| Full Name | MARIO EDUARDO CASTELLANOS |
| Practice Address |
500 W Thomas Rd Suite 680 Phoenix AZ 85013-4224 |
| Mailing Address |
File 56765 Los Angeles CA 90074-6765 |
| Practice Telephone | 6024066017 |
| Mailing Telephone | 6024063860 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
42762 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 588582 | 05 | |
| INSTITUTIONAL PERMIT | BP1-0026446 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396294500 | Mario Castellanos | Counselor | 25 Donald St Apt D, Bloomfield, NJ 07003-6182 | 2016-09-28 |
| 1164402756 | Mario Javier Castellanos | Dentist | 2063 E Florida Ave, Hemet, CA 92544-4730 | 2006-01-19 |
| 1164050910 | Mario Castellanos | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-28 |
| 1285927962 | Mario Javier Castellanos Jr. | Dentist | 9725 Sierra Ave, Fontana, CA 92335-6716 | 2011-05-27 |
| 1548243611 | Mario Castellanos | Internal Medicine | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-22 |
| Street Address |
500 W THOMAS RD SUITE 680 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609244 | James Craig Russell | Specialist | 500 W Thomas Rd, Ste 400, Phoenix, AZ 85013-4222 | 2005-06-14 |
| 1225557770 | Lauren E Cherrier | Pharmacist | 500 W Thomas Rd, Phoenix, AZ 85013-4224 | 2017-09-15 |
| 1063936219 | Sara Brenza | Nurse Practitioner | 500 W Thomas Rd, Ste 300, Phoenix, AZ 85013-4220 | 2017-07-31 |
| 1124570569 | Anna De La Huerta | Pharmacist | 500 W Thomas Rd, Phoenix, AZ 85013-4224 | 2016-11-02 |
| 1750734406 | Janet Ward | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-18 |
| 1689027583 | Stacy Nelson | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-15 |
| 1669823530 | Karen R Broderick-strupp | Nurse Practitioner | 500 W Thomas Rd, Ste. 500, Phoenix, AZ 85013-4224 | 2016-06-22 |
| 1992174718 | Michelle Marie Walker | Advanced Practice Midwife | 500 W Thomas Rd, Ste 720 & Ste 730, Phoenix, AZ 85013 | 2015-09-22 |
| 1962870287 | Pwi Development LLC | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 480, Phoenix, AZ 85013-4224 | 2015-09-03 |
| 1144602012 | Rashna Shetty | Internal Medicine | 500 W Thomas Rd, Phoenix, AZ 85013 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
| 1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
| 1043302656 | Gordon Doyle Davis | Obstetrics & Gynecology | 300 W Clarendon, #100, Phoenix, AZ 85013 | 2006-09-29 |
| 1750398251 | Jack Obadia | Obstetrics & Gynecology | 2725 E Camelback Rd, # 150, Phoenix, AZ 85016-4312 | 2006-08-01 |
| 1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
| 1427046291 | Laurel A Kubby | Obstetrics & Gynecology | 3102 E Indian School Rd, #130, Phoenix, AZ 85016-6872 | 2005-10-06 |
| 1043204175 | Jeffry Weisfeld | Obstetrics & Gynecology | 2911 W Sierra St, Phoenix, AZ 85029-4327 | 2005-09-03 |
| 1891787693 | Kelly H Roy | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2005-08-17 |
| 1194717991 | Felipe L.g. Videla | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2005-08-17 |
| 1720070790 | Franklin D Loffer | Obstetrics & Gynecology | 3410 N 4th Ave, Phoenix, AZ 85013-3905 | 2005-08-16 |
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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.