Joe Blair Castles III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22534 Issued in SC

Practice address

14 Richland Medical Park Dr
Ste. 410
Columbia, SC 29203-6877

Phone

(803) 799-9044

Fax

(803) 256-8119

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Pediatric Associates, P.a.

  • Preferred Provider Organization
  • Columbia, SC
  • NPI 1447383666
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1508961442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR",
            "address_2": "STE. 410",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036877",
            "telephone_number": "803-799-9044",
            "fax_number": "803-256-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR",
            "address_2": "STE. 410",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036877",
            "telephone_number": "803-799-9044",
            "fax_number": "803-256-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLES",
        "first_name": "JOE",
        "middle_name": "BLAIR",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "22534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225349",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cast Your Care Health Care, LLC
• Christine Elizabeth Cast, PHARM.D.
• Maura Kathleen Castellanos, PSYD
• Charles Guy Castles III, M.D.
• Hannah Castles, MD
• Katie A Castor, LPCA
• Edward W. Catalano, M.D.
• Michael Anthony Catanzano, DPT
• Katie Peeples Cate, MSP,CCC-SLP
• Corinne Cates, M.S. R.D. L.D.

• Pediatrics Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.