Peter W Castellanos in Idaho Falls - Neurology With Special Qualifications In Child Neurology
Peter W Castellanos - NPI 1811991474
Peter W Castellanos is a Neurology With Special Qualifications In Child Neurology in Idaho Falls, Idaho. Peter W Castellanos practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Peter W Castellanos is 1811991474. The last update date is 2021-07-29.
Peter W Castellanos's current location address is 2225 Teton Plz Ste B, Idaho Falls, Idaho. You can contact this provider via phone number 2085294300 and fax number 2088815121. The mailing address for Peter W Castellanos is 2225 Teton Plz Ste B, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter W Castellanos |
|---|---|
| Address | 2225 Teton Plz Ste B, Idaho Falls, Idaho |
| Phone Number | 2085294300 |
| Fax Number | 2088815121 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811991474 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2021-07-29 |
Provider Mailing Address Detail
| Address | 2225 Teton Plz Ste B |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 8340464940 |
| Phone Number | 2085294300 |
| Fax Number | 2088815121 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 1048179 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200173520 | IN | -- | |
| 89466 | IN | ANTHEM BXBS |
Post Comment/ Review Below
What is the unique identifier code issued to Peter W Castellanos by the Centers for Medicare & Medicaid Services (CMS)?
The Peter W Castellanos has been assigned the NPI (National Provider Identifier) 1811991474. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Peter W Castellanos's facilities are situated?
The facilities of Peter W Castellanos are physically located at the following address: 2225 Teton Plz Ste B, Idaho Falls, ID, 8340464940.
What is the Peter W Castellanos's area of specialization and corresponding taxonomy classification?
The Peter W Castellanos's specialty field is Neurology With Special Qualifications In Child Neurology, and it falls under the taxonomy code 2084N0402X, which categorizes healthcare providers based on their specialties.
When did the Peter W Castellanos receive its 1811991474?
The Peter W Castellanos was issued its 1811991474 on 2005-06-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Peter W Castellanos last refreshed?
The information related to the Peter W Castellanos, including its address, specialty, and other relevant details, was last updated on 2021-07-29.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM