Active NPI
Robert Saul Castro, M.D.
- General Practice Physician
- El Reno, OK
National Provider Identifier
1407919269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301065570
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9107004 | Medicaid | OK |
Other names 1
- Robert Saul Castro Guzman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7004 | PR | MD | Social Worker |
| 4301065570 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
-
- Public Health or Welfare Agency
- El Reno, OK
- NPI 1386725604
-
- Clinic/Center
- Watonga, OK
- NPI 1518224260
-
- Public Health or Welfare Agency
- Watonga, OK
- NPI 1558458794
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.