Jacastillano PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

4301100455 Issued in MI

Legal business name

JACASTILLANO PLLC

Doing business as

JACASTILLANO PLLC

Practice address

5310 Breeze Hill PL
Troy, MI 48098-2725

Phone

(904) 252-3930

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Jesse A Castillano, MD

Title

Ceo

Phone

(904) 252-3930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JACASTILLANO PLLC Doing business as

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738454400000",
    "number": "1861905739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54626 MORNINGSIDE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166001",
            "telephone_number": "904-252-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 BREEZE HILL PL",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982725",
            "telephone_number": "904-252-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACASTILLANO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLANO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-252-3930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301100455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LIC#",
            "identifier": "4301100455",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACASTILLANO PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinata Mahadevan Iyer
• J.a.Ditty and Associates
• J.H.S. D.O. P.C.
• Devone Jabara, CRNA
• Milad Jabow
• Mercedese Jack
• Denise Jackson
• Erica L Jackson
• Fredericka Arlene Jackson, PH.D. CAC II
• Julia Jackson, FNP-BC

• Vascular & Interventional Radiology Physician in Troy, MI
• Providers in Troy, MI by specialty
• Vascular & Interventional Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.