Active NPI
Michael E Castro, RT
- Diagnostic Radiology Physician
- Everett, WA
National Provider Identifier
1104440312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 60102803
- Practice address
- 1818 121St St SE
Everett, WA 98208-5985 - Phone
- (425) 357-3388
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 60102803 | WA | Primary |
Addresses
Primary practice location
1818 121St St SE
Everett, WA 98208-5985
Mailing address
1818 121St St SE
Everett, WA 98208-5985
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60102803 | WA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1104440312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 121ST ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 121ST ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085985",
"telephone_number": "425-357-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "RT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "60102803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.