Melanie Castle, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2029-023 Issued in WI

Practice address

960 N 12TH St
Suite 1800
Milwaukee, WI 53233-1306

Phone

(414) 278-9000

Fax

(414) 278-9005

NPI assigned

Oct 2, 2006

Last updated

May 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Creek Medical & Occupational L.L.C.

  • Multi-Specialty Clinic/Center
  • Oak Creek, WI
  • NPI 1356414288
  NPD (past)
• Oak Creek Medical & Pccupational, LLC

  • Physical Therapist
  • Oak Creek, WI
  • NPI 1932211141
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1306939079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N 12TH ST",
            "address_2": "SUITE 1800",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331306",
            "telephone_number": "414-278-9000",
            "fax_number": "414-278-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N 12TH ST",
            "address_2": "SUITE 1800",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331306",
            "telephone_number": "414-278-9000",
            "fax_number": "414-278-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "MELANIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "2029-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42892200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denis Flores Castillo, M.D.
• Michelle Castillo
• Nicole N. Castillo
• Susana Trajano Castillo, RN
• Wilfrido E Castillo, MD
• Lauren Marie Castner, D.O.
• Pearlie Mae Caston
• Carolyn Castonguay, MS, CGC
• Alvaro Castro, MD
• Anne Lauer Castro, M.D.

• Surgical Physician Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Surgical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.