Manuel Castillo, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P3612 Issued in TX

Practice address

303 East 7TH Street
Odessa, TX 79761

Phone

(432) 582-2929

Fax

(432) 331-9987

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: permianpediatrics.manuelcastillo@146262.advancedmd-direct.com

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.

• Permian Pediatrics PA

  • Pediatrics Physician
  • Odessa, TX
  • NPI 1679022610
  NPD (past)
• Sandra Maerzacker, MD, PLLC

  • Pediatrics Physician
  • Midland, TX
  • NPI 1124893177
  NPD (past)
• Sari Nabulsi MD LTD LLP

  • Pediatrics Physician
  • Midland, TX
  • NPI 1609893262
  NPD (past)
• Violeta Bello MD PA

  • Pediatrics Physician
  • Odessa, TX
  • NPI 1659658813
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1194088914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 EAST 7TH STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-582-2929",
            "fax_number": "432-331-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EAST 7TH STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-582-2929",
            "fax_number": "432-331-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MANUEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T3612",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Cass, RPH
• Jessica Ann Castaneda
• Alan Castillejos
• Brandy Devonne Castillo, PTA
• Jason Alexander Castillo, MD
• Castillorx, LLC
• Irene C Cawi, NURSE PRACTITIONER
• Guillermo Nicolas Cazares, MD
• Suzanne Cearley, CPCP-PC
• Maria G Ceballos, O.D.

• Pediatrics Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.