Daniel J Mountcastle (NPI# 1972695880, PAC ID# 2264453810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1972695880 |
| PAC ID by PECOS | 2264453810 |
| Professional Enrollment ID | I20051212000550 |
| Full Name | Daniel J Mountcastle |
| Organization Legal Name | MOUNTCASTLE VEIN CENTER OF ST PETERSBURG |
| Address |
5901 Sun Blvd Saint Petersburg FL 33715-1165 |
| Phone Number | 7272237463 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4587757547 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5901 Sun Blvd, Saint Petersburg, FL 33715-1165 | 7272237463 | MOUNTCASTLE VEIN CENTER OF ST PETERSBURG |
| 5901 Sun Blvd, 113a, Saint Petersburg, FL 33715-1165 | 7272237463 | MOUNTCASTLE VEIN CENTER OF ST PETERSBURG |
| Organization Legal Name | MOUNTCASTLE VEIN CENTER OF ST PETERSBURG |
| Physicians | 1 |
| Street Address |
5901 SUN BLVD |
| City | SAINT PETERSBURG |
| State | FL |
| Zip | 33715-1165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Misechok | Physician Assistant | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Stephen Vallakalayil Pappachen | Obstetrics/gynecology | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Richard G Martin | General Surgery | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Louis V Frosch | Family Practice | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| William C. Welch | General Surgery | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Felix R Ortega | Plastic and Reconstructive Surgery | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Ashley L Patrick | Nurse Practitioner | Nautilus Health Care Group LLC | 1120 Pinellas Bayway S, Suite 200, Tierra Verde, FL 33715-1505 |
| Kristin S Sochet | Family Medicine | Prawer Medical Group | 5101 Brittany Dr S, St Petersburg, FL 33715-1565 |
| Joel S Prawer | Family Practice | Davita Medical Florida, Inc. | 5101 Brittany S Dr, Saint Petersburg, FL 33715-1565 |
| City | SAINT PETERSBURG |
| Zip Code | 33715 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAINT PETERSBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Daniel J Mountcastle.
| 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.