Organization Active NPI

Timoteo Castro MD & Josefina D. Castro MD LTD

  • Family Medicine Physician
  • Herrin, IL
National Provider Identifier
1235459918
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36-51919 Issued in IL
Legal business name
TIMOTEO CASTRO MD & JOSEFINA D. CASTRO MD LTD
Practice address
321 South 13St St.
Herrin, IL 62948
Phone
(618) 942-7371
Fax
(618) 942-8558
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Timoteo Reguiz Castro Jr., MD
Title
President
Phone
(618) 942-7371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36-51919 IL Primary

Addresses

Primary practice location

321 South 13St St.
Herrin, IL 62948

Mailing address

P.O. Box 158
321 South 13St
Herrin, IL 62948
Phone (618) 942-7371

National Provider Directory

National Provider Directory

Locations

321 S 13th St
Herrin, IL 62948
Phone (618) 942-7371

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1235459918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 158",
            "address_2": "321 SOUTH 13ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "62948",
            "telephone_number": "618-942-7371",
            "fax_number": "618-942-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SOUTH 13ST ST.",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "62948",
            "telephone_number": "618-942-7371",
            "fax_number": "618-942-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTEO CASTRO MD & JOSEFINA D. CASTRO MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "TIMOTEO",
        "authorized_official_middle_name": "REGUIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-942-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36-51919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.