Active NPI
Ruben Castro Estrada, M.D.
- Anesthesiology Physician
- Parkersburg, WV
National Provider Identifier
1346236189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 15941
- Practice address
- 800 Garfield Ave
Parkersburg, WV 26101-5340 - Phone
- (304) 424-2590
- Fax
- (304) 422-3924
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35061294 | OH | |
| Anesthesiology Physician | 207L00000X | 15941 | WV | Primary |
Addresses
Primary practice location
800 Garfield Ave
Parkersburg, WV 26101-5340
Mailing address
601 Avery St Ste 501
Parkersburg, WV 26101-5192
Phone (304) 588-8683
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0758970 | Medicaid | OH | |
| 0058734000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1346236189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 AVERY ST STE 501",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015192",
"telephone_number": "304-588-8683",
"fax_number": "304-422-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015340",
"telephone_number": "304-424-2590",
"fax_number": "304-422-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "RUBEN",
"middle_name": "CASTRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35061294",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "15941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0758970",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058734000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.