Organization Active NPI

Aesthetic Facial Plastic Surgery Associates

  • Specialist
  • Tampa, FL
National Provider Identifier
1962659854
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME101498 Issued in FL
Legal business name
AESTHETIC FACIAL PLASTIC SURGERY ASSOCIATES
Practice address
306 S Macdill Ave
Tampa, FL 33609-3142
Phone
(813) 879-6207
Fax
(813) 875-9256
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Dominic M Castellano, M.D.
Title
Physician
Phone
(813) 879-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME101498 FL Primary

Addresses

Primary practice location

306 S Macdill Ave
Tampa, FL 33609-3142

Mailing address

306 S Macdill Ave
Tampa, FL 33609-3142
Phone (813) 879-6207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1962659854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093142",
            "telephone_number": "813-879-6207",
            "fax_number": "813-875-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093142",
            "telephone_number": "813-879-6207",
            "fax_number": "813-875-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC FACIAL PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-879-6207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME101498",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2008; 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.