Active NPI
Eric Castaneda, PA-C
- Physician Assistant
- Wake Forest, NC
National Provider Identifier
1225810427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001013807
- Practice address
- 3150 Rogers Rd Ste 218
Wake Forest, NC 27587-3281 - Phone
- (919) 263-5255
- NPI assigned
- Oct 20, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001013807 | NC | Primary |
Addresses
Primary practice location
3150 Rogers Rd Ste 218
Wake Forest, NC 27587-3281
Mailing address
1581 Hunters Stand Run
Oviedo, FL 32765-5100
Phone (407) 683-3771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 High House Rd
Cary, NC 27513-3576
Phone (919) 388-9103
7200 Creedmoor Rd
Suite 104
Raleigh, NC 27613-1711
Phone (919) 518-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001013807 | NC | MD | Physician Assistant |
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.
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- NPI 1508395468
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- Winston Salem, NC
- NPI 1649237082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711152000000",
"number": "1225810427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 HUNTERS STAND RUN",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327655100",
"telephone_number": "407-683-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 ROGERS RD STE 218",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873281",
"telephone_number": "919-263-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "ERIC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-20",
"last_updated": "2024-03-23",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001013807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.