Individual provider Active NPI

Jason RH Castle, M.D.

  • Family Medicine Physician
  • Paintsville, KY
National Provider Identifier
1497910111
Registry record updated Mar 17, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Aug 19, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42069 Issued in KY
Practice address
713 Broadway
Suite 301
Paintsville, KY 41240-0829
Phone
(606) 789-4255
Fax
(606) 886-9908
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42069 KY Primary

Addresses

Primary practice location

713 Broadway
Suite 301
Paintsville, KY 41240-0829

Mailing address

PO Box 1810
Prestonsburg, KY 41653-5810
Phone (606) 789-4255

Other practice location 1

713 Broadway St
Paintsville, KY 41240-1465
Phone (606) 789-4256

Other identifiers 2

IdentifierTypeStateIssuer
7100406480MedicaidKY
7100004160MedicaidKY

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497910111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416535810",
            "telephone_number": "606-789-4255",
            "fax_number": "606-886-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BROADWAY",
            "address_2": "SUITE 301",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412400829",
            "telephone_number": "606-789-4255",
            "fax_number": "606-886-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401465",
            "country_code": "US",
            "telephone_number": "606-789-4256",
            "fax_number": "606-886-9908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "JASON",
        "middle_name": "RH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100406480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100004160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.