Individual provider Active NPI

Robert Saul Castro, M.D.

  • General Practice Physician
  • El Reno, OK
National Provider Identifier
1407919269
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301065570 Issued in MI
Practice address
1631 A East Hwy 66
El Reno, OK 73036
Phone
(405) 262-7631
Fax
(405) 262-8099
NPI assigned
Dec 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301065570 MI Primary

Addresses

Primary practice location

1631 A East Hwy 66
El Reno, OK 73036

Mailing address

11509 NW 6TH St
Yukon, OK 73099-6568
Phone (405) 262-7631

Other identifiers 1

IdentifierTypeStateIssuer
9107004MedicaidOK

Other names 1

  • Robert Saul Castro Guzman Other name

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

State licenses

LicenseStateTypeSpecialty
7004PRMDSocial Worker
4301065570MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Indian Health Center Past Accepting new patients
El Reno Indian Health Center Past Accepting new patients
Usphs Indian Health Service Past Accepting new patients
Watonga Indian Health Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407919269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 NW 6TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996568",
            "telephone_number": "405-262-7631",
            "fax_number": "405-262-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 A EAST HWY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73036",
            "telephone_number": "405-262-7631",
            "fax_number": "405-262-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ROBERT",
        "middle_name": "SAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301065570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9107004",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "CASTRO GUZMAN",
            "middle_name": "SAUL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.