NPIMap

Organization Active NPI

Orlando J. Castillo M.D., PA

  • Specialist
  • Tampa, FL
National Provider Identifier
1891246500
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME116695 Issued in FL
Legal business name
ORLANDO J. CASTILLO M.D., PA
Practice address
2810 W Saint Isabel St
Suite 101
Tampa, FL 33607-6375
Phone
(813) 873-7479
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Venkata Reddivari, M.D
Title
Physician
Phone
(813) 873-7479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME116695 FL Primary

Addresses

Primary practice location

2810 W Saint Isabel St
Suite 101
Tampa, FL 33607-6375

Mailing address

2810 W Saint Isabel St
Suite 101
Tampa, FL 33607-6375
Phone (813) 873-7479

Other identifiers 1

IdentifierTypeStateIssuer
ME116695OtherFLFLORIDA STATE LISENCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1891246500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-873-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-873-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO J. CASTILLO M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "REDDIVARI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-873-7479",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME116695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LISENCE",
            "identifier": "ME116695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.