Individual provider Active NPI

Matthew P Castner, DO

  • Internal Medicine Physician
  • Tavares, FL
National Provider Identifier
1346259116
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0S6305 Issued in FL
Practice address
1000 Waterman Way
Tavares, FL 32778
Phone
(352) 636-2286
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0S6305 FL Primary

Addresses

Primary practice location

1000 Waterman Way
Tavares, FL 32778

Mailing address

PO Box 1411
Eustis, FL 32727-1411
Phone (352) 636-2286

Other identifiers 1

IdentifierTypeStateIssuer
374791300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415002051 WA Practitioner - Internal Medicine 7911895032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S6305FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Mar 4, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 4, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Hospital Care Associates PA Internal Medicine PastSince Dec 11, 2003 Accepting new patients
Matthew P. Castner, D.O., P.a. Internal Medicine Past Accepting new patients
Baptist Primary Care Inc Internal Medicine Past Accepting new patients
Baptist Primary Care Inc Past Accepting new patients
Lake Hospital Care Associates PA PastSince Apr 15, 2007 Accepting new patients

Locations

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1346259116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1411",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327271411",
            "telephone_number": "352-636-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "32778",
            "telephone_number": "352-636-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTNER",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0S6305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374791300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.