Edwin T. Castaneda, MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDWIN T. CASTANEDA, MD PA

Practice address

10324 Old Ocean City Blvd
Berlin, MD 21811-1132

Phone

(410) 629-0041

Fax

(410) 641-9515

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin T Castaneda, MD

Title

Owner

Phone

(410) 629-0041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1265627418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 OLD OCEAN CITY BLVD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111132",
            "telephone_number": "410-629-0041",
            "fax_number": "410-641-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 OLD OCEAN CITY BLVD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111132",
            "telephone_number": "410-629-0041",
            "fax_number": "410-641-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN T. CASTANEDA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-629-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.