Jessica Y Calvo Castanon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-37183 Issued in KS

Practice address

100 W Ross Blvd
Suite 2a
Dodge City, KS 67801-7216

Phone

(620) 227-3141

Fax

(620) 227-8095

NPI assigned

Jul 13, 2011

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.calvo.1@19231.direct.athenahealth.com
• Direct secure messaging: jessica.calvocastanon@khindirect.org

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

• Sierra Vista Regional Health Center Medical Group LLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1043575483

  Pediatrics

  Medicare reassignment NPD
• RCHP-Sierra Vista Inc

  dba Canyon Vista Medical Center

  • General Acute Care Hospital
  • Sierra Vista, AZ
  • NPI 1194766543
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1104114081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD",
            "address_2": "SUITE 2A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017216",
            "telephone_number": "620-227-3141",
            "fax_number": "620-227-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD",
            "address_2": "SUITE 2A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017216",
            "telephone_number": "620-227-3141",
            "fax_number": "620-227-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO CASTANON",
        "first_name": "JESSICA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-37183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Bunkall, D.D.S., M.S.
• Sharon Burgoyne, RD
• Tanya Burkhard, LCPC
• C&S Medical Clinic PA
• Stephen A Cagle, LSCSW
• Cancer Center of Kansas, P.a.
• Jennifer Ann Canfield, APRN, FNP-C
• Craighton Carey
• Ginger Carlisle
• Jessica Isabel Carrasco

• Pediatrics Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.