MD Peter W Castellanos, NPI 1811991474
Neurology with Special Qualifications in Child Neurology Physician in Idaho Falls, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1811991474 |
| NPI Entity Type | Individual |
| Provider Name | MD Peter W Castellanos |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2225 Teton Plz Ste B, Idaho Falls, ID, US |
| Provider Mailing Address | 2225 Teton Plz Ste B, Idaho Falls, ID, US, 834046494 |
| Gender | Male |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician |
| Classification | |
| Group | |
| License No. | M10191 |
| License State | ID |
| Description | A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 01048179 | IN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 200173520 | IN | MEDICAID | 05 |
| 000000089466 | IN | ANTHEM BXBS | 01 |
Other Providers in ID, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
Canopy Behavioral Health, Pllc Organization |
2596 N Stokesberry Pl Ste 180 |
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MS Lucas Jay Hooker Individual |
136 S Academy Ave |
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Sight Partners Physicians, P.c. Organization |
2175 N Main St |
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|
Morgan Raye Horine Individual |
1301 E 17th St |
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|
DPT Scott Treat Individual |
3360 S 15th E |
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|
Landmark Medical Of Idaho Pc Organization |
322 E Front St Ste 400 |
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|
DR. D.C. Julie Lee Restad Individual |
1012 W Main St |
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|
MSOTR/L Michelle Leigh Dietz Individual |
7211 W Franklin Rd |
||
|
MS. PA-C Ivy Meg Wilson Individual |
2893 S Cadet Pl |
||
|
DR. PHARMD Victoria Emenari Individual |
4400 E Flamingo Ave |
||
|
Shannon Finnegan Individual |
6051 W Emerald St |
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|
Mrc Llc Organization |
450 W State St Ste 270 |
||
|
Bedside Xray Service Inc Organization |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
1110 N Five Mile Rd |
|
|
Highland Physical Therapy Llc Organization |
1951 Bench Rd Suite E |
||
|
Bruce W Hamerl O D P C Organization |
8300 W Overland Rd |
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|
Front Line Ems, Llc Organization |
575 Old Highway 30 |
||
|
MRS. RPT Kimberly W Schwarze Individual |
1951 Bench Rd Suite E |
||
|
PA-C Todd M Otstot Individual |
206 E Elm St |
||
|
PT, DPT Katherine Buschhorn Individual |
1951 Bench Rd Ste E |
||
|
Odyssey Healthcare Operating B, Lp Organization |
1230 Northwood Center Ct. Ste. B |
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