Juanita M Castaneda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35048555 Issued in OH

Practice address

2804 Brainard Rd
Pepper Pike, OH 44124-4608

Phone

(216) 214-6176

Fax

(440) 494-7049

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sisters of St. Joseph of St. Mark - Mount St. Joseph

  • Skilled Nursing Facility
  • Euclid, OH
  • NPI 1053309211
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1497744148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 BRAINARD RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441244608",
            "telephone_number": "216-214-6176",
            "fax_number": "440-494-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 BRAINARD RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441244608",
            "telephone_number": "216-214-6176",
            "fax_number": "440-494-7049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Bishop Rd",
            "address_purpose": "LOCATION",
            "city": "Wickliffe",
            "state": "OH",
            "postal_code": "440922586",
            "country_code": "US",
            "telephone_number": "440-944-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Gateway",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441192447",
            "country_code": "US",
            "telephone_number": "216-486-4949",
            "fax_number": "216-581-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21800 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441172125",
            "country_code": "US",
            "telephone_number": "216-531-7426",
            "fax_number": "216-531-7911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "JUANITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35048555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000332689",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536067",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110031418",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000124452",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00198029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammyka Caldwell
• Taylor Campbell, MPH
• Kristine Margaret Carey
• Robert Carpenter
• Brandon W Carthens
• Brooke Catlin
• James Michael Cato, CDCA
• Sigmund M Cha, MD
• Taylor Symone Chandler
• Starr Angel Chapin, LISW

• Internal Medicine Physician in Pepper Pike, OH
• Providers in Pepper Pike, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.