Active NPI
Wilma Castro, MD
- Neurology Physician
- Ashland, KY
National Provider Identifier
1073617015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 39037
- Practice address
- 617 23Rd St
Suite 12
Ashland, KY 41101-2845 - Phone
- (606) 326-1557
- Fax
- (606) 326-1570
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 39037 | KY | Primary |
Addresses
Primary practice location
617 23Rd St
Suite 12
Ashland, KY 41101-2845
Mailing address
PO Box 1648
Ashland, KY 41105-1648
Phone (606) 326-1557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64093578 | Medicaid | KY | |
| 2537428 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39037 | KY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Neurological Clinic PC | Neurology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurology Physician
- Montgomery, AL
- NPI 1407962194
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1073617015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051648",
"telephone_number": "606-326-1557",
"fax_number": "606-326-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 23RD ST",
"address_2": "SUITE 12",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012845",
"telephone_number": "606-326-1557",
"fax_number": "606-326-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "WILMA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "39037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64093578",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2537428",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.