NPIMap

Individual provider Active NPI

Tanya Castor, PA-C

  • Physician Assistant
  • Manhattan, KS
National Provider Identifier
1326130451
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01060 Issued in KS
Practice address
4201 Anderson Ave
BLDG C
Manhattan, KS 66503-7602
Phone
(785) 539-3504
Fax
(785) 539-8597
NPI assigned
Sep 28, 2006
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01060 KS Primary

Addresses

Primary practice location

4201 Anderson Ave
BLDG C
Manhattan, KS 66503-7602

Mailing address

4201 Anderson Ave
BLDG C
Manhattan, KS 66503-7602
Phone (785) 539-3504

Other identifiers 1

IdentifierTypeStateIssuer
200405210AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000267 KS Practitioner - Physician Assistant 6305842139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire ENT and Pulmonology PAGroup PAC ID 2466405568, 12 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

4201 Anderson Ave
Suite C
Manhattan, KS 66503-7603
Phone (785) 539-3504

4201 Anderson Ave BLDG C
Manhattan, KS 66503-7603

4201 Anderson Ave C
Manhattan, KS 66503-7603

930 Hayes Dr
Suite B
Manhattan, KS 66502-5721
Phone (785) 565-0016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.87 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01060KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospital Manhattan, Inc. Physician Assistant CurrentSince Nov 1, 2024 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
Emergency Physicians of Manhattan, LLC Past Accepting new patients

Locations

1133 College Ave
Ste E110
Manhattan, KS 66502
Phone (785) 537-2651

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

930 Hayes Dr
Ste B
Manhattan, KS 66502
Phone (785) 565-0016

Interoperability endpoints

  • Direct secure messaging: tanya.castor.1@20807.direct.athenahealth.com
  • Direct secure messaging: tanyacastor@northeastk.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1326130451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE",
            "address_2": "BLDG C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037602",
            "telephone_number": "785-539-3504",
            "fax_number": "785-539-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE",
            "address_2": "BLDG C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037602",
            "telephone_number": "785-539-3504",
            "fax_number": "785-539-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "TANYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200405210A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.