TIRSO A CASTILLO (NPI# 1083692560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083692560 |
| Entity Type | Individual |
| Full Name | TIRSO A CASTILLO |
| Credential | MD |
| Practice Address |
111 Fairview Park Dr Dublin GA 31021-2501 |
| Mailing Address |
Po Box 1528 Dublin GA 31040-1528 |
| Practice Telephone | 4782721366 |
| Practice Fax Number | 4782752322 |
| Mailing Telephone | 4782721366 |
| Mailing Fax Number | 4782752322 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
048883 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000872066A | 05 | |
| GA | UNITED HEALTHCARE | 1007287 | 01 |
| GA | FIRST HEALTH | 681242 | 01 |
| GA | AETNA | 4653853 | 01 |
| GA | BCBS | 52420599-002 | 01 |
| Street Address |
111 FAIRVIEW PARK DR |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538466297 | Dublin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 111 Fairview Park Dr, Dublin, GA 31021-2501 | 2011-02-16 |
| 1841517893 | Dublin Endoscopy Center, LLC | Clinic/Center | 111 Fairview Park Dr, Dublin, GA 31021-2501 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706687 | Harish Grover | Internal Medicine | 118 Broad Street, Dublin, VA 24084 | 2006-02-01 |
| 1891788386 | Bruce L Hennessy | Internal Medicine | 6670 Perimeter Dr, Suite 200, Dublin, OH 43016-8056 | 2005-08-30 |
| 1750883435 | Southeast Regional Primary Care Corporation | Internal Medicine | 104 Fairview Park Dr, Dublin, GA 31021-2500 | 2018-03-08 |
| 1629441613 | Gastroenterology Associates of Dublin LLC | Internal Medicine | 104 Fairview Park Dr, Dublin, GA 31021-2500 | 2015-11-12 |
| 1871808790 | Mrudula V Kumar | Internal Medicine | 4050 Dublin Blvd, Department of Gastroenterology, Dublin, CA 94568-3112 | 2010-08-16 |
| 1477870327 | Dublin Gastroenterology Assoc, LLC | Internal Medicine | 104 Fairview Park Dr, Dublin, GA 31021-2500 | 2010-04-30 |
| 1366564197 | Ryan Brelsford Gaible | Internal Medicine | 6670 Perimeter Dr, Suite 200, Dublin, OH 43016-8056 | 2007-04-04 |
| 1588716237 | Jon Paul Walker | Internal Medicine | 6670 Perimeter Dr Ste 200, Dublin, OH 43016-8065 | 2007-01-16 |
| 1629012794 | John J. Fromkes | Internal Medicine | 3900 Stoneridge Ln, Dublin, OH 43017-2009 | 2006-06-16 |
| 1316905763 | Bijoy Chandra Das | Internal Medicine | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-05-03 |
| Find all providers in DUBLIN | ||||
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| 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.