Active NPI
Guillermo Castellvi MD PA
- Surgery Physician
- Tampa, FL
National Provider Identifier
1427421106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME44641
- Legal business name
- GUILLERMO CASTELLVI MD PA
- Practice address
- 11033 Countryway Blvd
Tampa, FL 33626-2628 - Phone
- (813) 196-9900
- Fax
- (813) 496-9920
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Guillermo O. Castellvi, MD
- Title
- Owner
- Phone
- (813) 196-9900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME44641 | FL | Primary |
Addresses
Primary practice location
11033 Countryway Blvd
Tampa, FL 33626-2628
Mailing address
PO Box 320502
Tampa, FL 33679-2502
Phone (813) 496-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259319000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11033 Countryway Blvd
Ste A
Tampa, FL 33626
Phone (813) 496-9900
11033 Countryway Blvd
Tampa, FL 33626
Phone (813) 496-9900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Tampa, FL
- NPI 1750413514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1427421106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320502",
"city": "TAMPA",
"state": "FL",
"postal_code": "336792502",
"telephone_number": "813-496-9900",
"fax_number": "813-496-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11033 COUNTRYWAY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262628",
"telephone_number": "813-196-9900",
"fax_number": "813-496-9920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUILLERMO CASTELLVI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "CASTELLVI",
"authorized_official_first_name": "GUILLERMO",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-196-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME44641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259319000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.