Peter Frederick Casterline, M.D.
Individual provider Active NPI Surgery Physician · Dallas, PA
NPI 1376835868 · NPPES record last updated May 3, 2011
Key facts
- NPI
- 1376835868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD018853E (PA)
- Practice address
- 5 Old Well Lane
Dallas, PA 18612 - Phone
- (570) 881-4879
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018853E | PA | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD018853E | PA | Yes |
Addresses
Primary practice location
5 Old Well Lane
Dallas, PA 18612
Mailing address
5 Old Well Lane
Dallas, PA 18612
Phone (570) 881-4879
Other providers in Dallas, PA
- Patricia A Buzinkai
- Thomas W Byron
- Dwin E Campbell
- Vincent L. Carolan
- Kimberly Carpenter
- Chun S Chang
- John D. Chiampi
- Robin Rachael Chiapuzzi
- Cip Rehabilitation Inc
- Anthony Cipoletti
All providers in Dallas, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.