Thaddaeus Castaneda (NPI# 1710920897, PAC ID# 0446154884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1710920897 |
| PAC ID by PECOS | 0446154884 |
| Professional Enrollment ID | I20070405000159 |
| Full Name | Thaddaeus Castaneda |
| Address |
143 S John Sims Pkwy Valparaiso FL 32580-1271 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100054 | TWIN CITIES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 |
| Street Address |
143 S JOHN SIMS PKWY |
| City | VALPARAISO |
| State | FL |
| Zip | 32580-1271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Brabham | Optometry | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | |
| C.s. Peters | Optometry | Annette Brabham Od Pa | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 |
| Donald B Schak Sr. | Family Medicine | 120 S John Sims Pkwy, Suite C, Valparaiso, FL 32580-1273 | |
| Wyndal K Blankenship | Internal Medicine | 120 S John Sims Pkwy, Suite A, Valparaiso, FL 32580-1273 |
| City | VALPARAISO |
| Zip Code | 32580 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VALPARAISO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thaddaeus Castaneda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.