Active NPI
Michael Astilla, MS,CO,BOCP
- Specialist
- Durham, NC
National Provider Identifier
1972624856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 314 Crutchfield St
Durham, NC 27704-2725 - Phone
- (919) 471-4994
- Fax
- (919) 471-4995
- NPI assigned
- Apr 2, 2007
- Last updated
- Apr 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
314 Crutchfield St
Durham, NC 27704-2725
Mailing address
314 Crutchfield St
Durham, NC 27704-2725
Phone (919) 471-4994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795027 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272585600000",
"number": "1972624856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042725",
"telephone_number": "919-471-4994",
"fax_number": "919-471-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042725",
"telephone_number": "919-471-4994",
"fax_number": "919-471-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTILLA",
"first_name": "MICHAEL",
"credential": "MS,CO,BOCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2010-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795027",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Associated Family and Life Service, LLC
- Associated Family and Life Services, LLC
- Associated Health Services (James E Davis Ambulatory Surgical Center)
- Associated Health Services, Inc. (James E Davis Ambulatory Surgical Center)
- Laurie Astern, PA-C
- Isabel Cecilia Astolfi, NP
- Samantha Leblanc Aston, PHARMD
- Daryl April Dais Asuncion, NP-C
- At Home Harmony of North Carolina PC
- Arash Ataei, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.