John Castaneda (NPI# 1467416628, PAC ID# 4183692890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467416628 |
| PAC ID by PECOS | 4183692890 |
| Professional Enrollment ID | I20040921000496 |
| Full Name | John Castaneda |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Address |
1980 Litton Ln Hebron KY 41048-8669 |
| Phone Number | 8593348700 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163326240 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| 180045 | ST ELIZABETH FLORENCE |
| Address | Phone | Organization |
|---|---|---|
| 1980 Litton Ln, Hebron, KY 41048-8669 | 8593348700 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | SUMMIT MEDICAL GROUP, INC. |
| Physicians | 487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elmer-lyon | Urology | Summit Medical Group, Inc. | 610 Medical Village Dr, Edgewood, KY 41017-3416 |
| James Schack | Family Medicine | Summit Medical Group, Inc. | 79 Country Club Dr, Butler, KY 41006-8704 |
| Balaji Kalyanaraman | Urology | Summit Medical Group, Inc. | 7370 Turfway Rd, Florence, KY 41042-4895 |
| Abraham Llapitan Tacang | Rheumatology | Summit Medical Group, Inc. | 651 Centre View Boulvard, Crestview Hills, KY 41017-5419 |
| Rani L. Clark | Nurse Practitioner | Summit Medical Group, Inc. | 2885 Alexandria Way, Highland Heights, KY 41076-1511 |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Ashley Nicole Minton | Family Medicine | Summit Medical Group, Inc. | 300 Commerical Circle, Alexandria, KY 41001-0001 |
| Saadeddine Dughman | Cardiovascular Disease (cardiology) | Summit Medical Group, Inc. | 900 Medical Village Dr, Edgewood, KY 41017-3422 |
| James Michael Morrow | Podiatry | Summit Medical Group, Inc. | 525 Alexandria Pike, Suite 230, Southgate, KY 41071-3243 |
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
1980 LITTON LN |
| City | HEBRON |
| State | KY |
| Zip | 41048-8669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Dragan | Family Medicine | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| Payal Sood Kohli | Family Medicine | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| Alvena G Tcheng | Family Medicine | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| Lauren N Jones | Nurse Practitioner | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| Robert Otte | Family Medicine | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| James J Stewart | Family Medicine | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| Kathleen L Obrien | Nurse Practitioner | Summit Medical Group, Inc. | 1980 Litton Ln, Hebron, KY 41048-8669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Jay Langley | Chiropractic | 2030 Northside Dr, Unit C, Hebron, KY 41048-7196 | |
| Tristin R Thompson | Chiropractic | 2950 Hebron Park Dr, Suite E, Hebron, KY 41048-8511 | |
| Jodi Williams | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 3105 N Bend Rd, Hebron, KY 41048-8523 |
| Nancy J Metzger | Family Practice | Summit Medical Group Inc | 1980 Litton Lane, Hebron, KY 41048-8669 |
| Edwin P Staat | Nurse Practitioner | 2091 N Bend Rd, Suite 100, Hebron, KY 41048-9122 | |
| Thomas C Noyes | Psychologist, Clinical | 1503 Jolee Dr, Hebron, KY 41048-9515 |
| City | HEBRON |
| Zip Code | 41048 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HEBRON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John 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.