Active NPI
Jason RH Castle, M.D.
- Family Medicine Physician
- Paintsville, KY
National Provider Identifier
1497910111
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42069
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100406480 | Medicaid | KY | |
| 7100004160 | Medicaid | KY |
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.
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.