Individual provider Active NPI

Anthony W. Casto, PA-C

  • Physician Assistant
  • Charles Town, WV
National Provider Identifier
1649468646
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2003 Issued in WV
Practice address
912 Somerset Blvd
Suite 101
Charles Town, WV 25414-3952
Phone
(304) 725-2663
Fax
(304) 724-0053
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2007030779 MO
Surgical Physician Assistant 363AS0400X 2007030779 MO
Physician Assistant 363A00000X MA056845 PA
Physician Assistant 363A00000X 2003 WV Primary

Addresses

Primary practice location

912 Somerset Blvd
Suite 101
Charles Town, WV 25414-3952

Mailing address

912 Somerset Blvd
Suite 101
Charles Town, WV 25414-3952
Phone (304) 725-2663

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2003WVMDDentist
2007030779MOMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians, Inc. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: acasto45239@direct.wvuhsdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1649468646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SOMERSET BLVD",
            "address_2": "SUITE 101",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143952",
            "telephone_number": "304-725-2663",
            "fax_number": "304-724-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SOMERSET BLVD",
            "address_2": "SUITE 101",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143952",
            "telephone_number": "304-725-2663",
            "fax_number": "304-724-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO",
        "first_name": "ANTHONY",
        "middle_name": "W.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2007030779",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2007030779",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056845",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.