NPIMap

Organization Active NPI

Castleview Physician Practices, LLC

Doing business as Castleview Surgical Associates

  • Surgery Physician
  • Price, UT
National Provider Identifier
1255635090
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CASTLEVIEW PHYSICIAN PRACTICES, LLC
Doing business as
Castleview Surgical Associates
Practice address
280 N Hospital Dr
Suite # 5
Price, UT 84501-4216
Phone
(435) 637-4590
Fax
(435) 637-4598
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mr. Timothy Vaughn
Title
President
Phone
(615) 372-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

280 N Hospital Dr
Suite # 5
Price, UT 84501-4216

Mailing address

280 N Hospital Dr
Suite # 5
Price, UT 84501-4216
Phone (435) 637-4590

Other names 1

  • Castleview Surgical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090518000607 UT Part B Supplier - Clinic/Group Practice 6305995598 Receives reassigned benefits from 37 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Price, UT; Castle Dale, UT

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

280 N Hospital Dr
Ste 5
Price, UT 84501
Phone (435) 637-4590

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1255635090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR",
            "address_2": "SUITE # 5",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014216",
            "telephone_number": "435-637-4590",
            "fax_number": "435-637-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR",
            "address_2": "SUITE # 5",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014216",
            "telephone_number": "435-637-4590",
            "fax_number": "435-637-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEVIEW PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-1604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleview Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.