Daniel J Mountcastle, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

ME36289 Issued in FL

Practice address

5901 Sun Blvd
Suite 113-a
St Petersburg, FL 33715-1166

Phone

(727) 865-6941

Fax

(727) 867-2639

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palms of Pasadena Emergency Physicians LLC

  • Emergency Medicine Physician
  • South Pasadena, FL
  • NPI 1164436341
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1972695880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SUN BLVD",
            "address_2": "SUITE 113-A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151166",
            "telephone_number": "727-865-6941",
            "fax_number": "727-867-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SUN BLVD",
            "address_2": "SUITE 113-A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151166",
            "telephone_number": "727-865-6941",
            "fax_number": "727-867-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTCASTLE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME36289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME36289",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039342800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Tywan Moton, RMHCI
• Michelle R Mottern, APRN
• Nasser A Moukaddem, MD
• Caitlin Moulton
• Mountcastle Vein Center of St Petersburg
• Gayle Maude Mousseau, RD,LD
• Britten Moyers, M.S.
• MRI Associates of St Pete Inc
• Jana Mrkaja
• Ms.Kerri SLP LLC

• Phlebology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.