Individual provider Active NPI

Stephen Wesley Castor, DPM

  • Podiatrist
  • Middleburg Heights, OH
National Provider Identifier
1417989609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003029C Issued in OH
Practice address
7055 Engle Road
Suite #404
Middleburg Heights, OH 44130
Phone
(440) 243-5914
Fax
(440) 243-6530
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003029C OH Primary

Addresses

Primary practice location

7055 Engle Road
Suite #404
Middleburg Heights, OH 44130

Mailing address

13040 Mariner Drive
North Royalton, OH 44133-5974
Phone (440) 230-5193

Other identifiers 1

IdentifierTypeStateIssuer
2022773MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413001130 OH Practitioner - Podiatry 9133024763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

655 Metro PL S
Suite 600
Dublin, OH 43017-3394
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3486
Removal or shaving of skin growth320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003029COHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Sep 1, 2021 Accepting new patients
Universal Medical Administration, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Universal Medical Ancillary Services Podiatrist PastSince Jul 15, 2014 Accepting new patients
Universal Medical Adminstration, LLC Past Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417989609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13040 MARINER DRIVE",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335974",
            "telephone_number": "440-230-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 ENGLE ROAD",
            "address_2": "SUITE #404",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-243-5914",
            "fax_number": "440-243-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "STEPHEN",
        "middle_name": "WESLEY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003029C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.