JONATHAN AARON DUCASTEL


Address: 560 W Mitchell St Ste 160, Petoskey, MI 49770
Phone: 2314873713

JONATHAN AARON DUCASTEL (NPI# 1073956694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073956694
Entity Type Individual
Full Name JONATHAN AARON DUCASTEL
Credential MD
Practice Address 560 W Mitchell St Ste 160
Petoskey
MI 49770
Mailing Address 560 W Mitchell St Ste 160
Petoskey
MI 49770-2276
Practice Telephone 2314873713
Practice Fax Number 2314873713
Mailing Telephone 2314873713
Mailing Fax Number 2314873713
Enumeration Date 2013-04-12
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
4301112263 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1073956694 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
395 W 12th Ave, 3rd Floor, Noth Doan Office Tower, Columbus, OH 432101267 6142939812

Office Location

Street Address 560 W MITCHELL ST STE 160
City PETOSKEY
State MI
Zip Code 49770

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780231985 Olivia Michelle Seaman Pharmacist 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 2019-08-22
1649733148 Harbor Hall, Inc. Clinic/Center 302 Orchard Ridge Drive, Petoskey, MI 49770 2019-04-11
1053802942 Devin Hueston Dentist 231 State St Ste 3, Petoskey, MI 49770 2018-05-25
1720585037 Jacob Kenneth Tracy Counselor 410 E Lake Street, Suite 100, Petoskey, MI 49770 2018-04-12
1013424191 Timothy Robert La Gasse Nurse Practitioner 401 Connable Ave, Petoskey, MI 49770 2018-01-10
1609303676 Shauna Sue Stark Nurse Practitioner 560 W Mitchell St Ste 505, Petoskey, MI 49770 2017-05-22
1053851519 Maureen Todd Counselor 703 Emmet St, Petoskey, MI 49770 2017-03-03
1457719239 Hufford Vision & Eye Care, PC Optometrist 560 West Mitchell, Suite 214, Petoskey, MI 49770 2016-02-08
1053779439 Kaylyn Schiemann Specialist/Technologist 1980 Maxwell Rd, Petoskey, MI 49770 2016-02-01
1669839130 Stieber Pediatric Dentistry Pllc Clinic/Center 1605 Us 131 Highway, Petoskey, MI 49770 2016-01-28
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164742268 Alfred Godwin Ajise Internal Medicine 820 Arlington Ave, Nephrology, Petoskey, MI 49770-2469 2010-06-11
1245429281 Gary H. Shaw, M.d., P.C. Internal Medicine 560 W Mitchell St, Ste 505, Petoskey, MI 49770-2275 2007-10-16
1013921154 Gary H Shaw Internal Medicine 416 Connable Ave, Petoskey, MI 49770-2212 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003440439 Nephrocare Dialysis, LLC Internal Medicine Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 2020-02-25
1740823459 Critical Care Nephrology, PC Internal Medicine 333 E Parent Ave, Royal Oak, MI 48067-3748 2019-10-25
1568948537 Amanda Thelen Internal Medicine 405 W Greenlawn Ave Ste 230, Lansing, MI 48910-0812 2018-07-12
1023507357 James Francis Murphy Internal Medicine Hope Medical Clinic 518 Harriet St., Ypsilanti, MI 48197-0311 2018-05-02
1457865354 Aaa Home Visiting Pllc Internal Medicine 1502 Fort St, Detroit, MI 48216 2017-11-30
1982129805 Abhay Mishra Internal Medicine 4160 John R St Ste 908, Detroit, MI 48201-2017 2017-08-11
1326586959 Alhaji Consultant Pllc Internal Medicine 29201 Chateau Ct, Farmington Hills, MI 48334-4112 2017-02-02
1033669445 T-beyene Hypertension & Kidney Care Plc Internal Medicine 4160 John R Ste 1011, Harper Professional Building, Detroit, MI 48201 2016-10-10
1285085860 Omer Yousif Internal Medicine 29829 Telegraph Rd Ste 202, Southfield, MI 48034-7656 2016-06-24
1710378377 Rawm Vascular Access, Pllc Internal Medicine 1540 36th Street. Sw, Wyoming, MI 49509 2015-02-17
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Competitor

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City PETOSKEY
Zip Code 49770

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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