Laurel Castano, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0010-07394 Issued in NC

Practice address

10370 Park Rd Ste 201
Charlotte, NC 28210-8509

Phone

(704) 542-3003

Fax

(704) 542-3040

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Charlotte Dermatology, PCGroup PAC ID 1456412709, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Charlotte Dermatology, PC

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1205086451
  Medicare reassignment Care Compare group
• Ballantyne Medical Associates PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1184776130
  NPD

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1770004376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 BAKER MILLS RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347365",
            "telephone_number": "704-654-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 PARK RD STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108509",
            "telephone_number": "704-542-3003",
            "fax_number": "704-542-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANO",
        "first_name": "LAUREL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "0010-07394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Cason
• Cassandra Suarez Nutrition LLC
• Azure Cassidy, RPH
• Lori Cassidy
• Peter M Cassidy, PT
• Ernest Castellano
• Lucinda Ann Castellano, MD
• Candice Nadia Castellino, MD
• Melanie Jacqueline Castellon-Lazo
• Leslie Castillo Navia, FNP

• Dermatology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.