Alissandro Roque Castillo, MD, MBA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9900793 Issued in NC

Practice address

478 Williamson Rd
Suite B
Mooresville, NC 28117-9109

Phone

(704) 662-3627

Fax

(704) 662-3229

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Family Medicine & Wellness

  • Preferred Provider Organization
  • Mooresville, NC
  • NPI 1912969106
  NPD (past) Authorized official
• Carolinas Physicians Network, Inc.

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1275781726
  NPD (past)
• Immuno Professionals PLLC

  • Adult Medicine Physician
  • Charlotte, NC
  • NPI 1578171724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1023096211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602124",
            "telephone_number": "704-662-3627",
            "fax_number": "704-662-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 WILLIAMSON RD",
            "address_2": "SUITE B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179109",
            "telephone_number": "704-662-3627",
            "fax_number": "704-662-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ALISSANDRO",
        "middle_name": "ROQUE",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912408",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Carter, PMHNP,APRN
• Melissa Carvalho, PHARMD
• Briana Lynne Casaday, PT, DPT, NCS
• Yezenia Casillas
• Amber Lynn Castano
• Rebecca Appleton Castillo, MD
• Dawn Sheree Cates, CCC-SLP
• Nicholas Caudle, PHARMD
• Tasha Cauthen
• CBT Center for Balanced Living, PLLC

• Family Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.