Organization Active NPI

Jerome J Kastrul MD LTD

  • Geriatric Medicine (Family Medicine) Physician
  • Sun City, AZ
National Provider Identifier
1922282920
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
AZ3752 Issued in AZ
Legal business name
JEROME J KASTRUL MD LTD
Practice address
13000 N 103Rd Ave #97
Sun City, AZ 85351-3060
Phone
(623) 933-1337
Fax
(623) 933-6109
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Jerome J Kastrul, MD
Title
President
Phone
(623) 933-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X AZ3752 AZ Primary

Addresses

Primary practice location

13000 N 103Rd Ave #97
Sun City, AZ 85351-3060

Mailing address

13000 N 103Rd Ave #97
Sun City, AZ 85351-3060
Phone (623) 933-1337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1922282920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE #97",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513060",
            "telephone_number": "623-933-1337",
            "fax_number": "623-933-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE #97",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513060",
            "telephone_number": "623-933-1337",
            "fax_number": "623-933-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME J KASTRUL MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "KASTRUL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-933-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "AZ3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.