GORDON LEE CASTLEBERRY (NPI# 1326393315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326393315 |
| Entity Type | Individual |
| Full Name | GORDON LEE CASTLEBERRY |
| Credential | PA |
| Practice Address |
566 Ruin Creek Rd Henderson NC 27536-2927 |
| Mailing Address |
3114 Croasdaile Dr Suite 200 Durham NC 27705-2508 |
| Practice Telephone | 9194251565 |
| Practice Fax Number | 9194250478 |
| Mailing Telephone | 9194251565 |
| Mailing Fax Number | 9194250478 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854417 | Gordon Michael Castleberry | Specialist | 1207 Highway 182 W Ste B, Starkville, MS 39759-9820 | 2005-07-13 |
| Street Address |
566 RUIN CREEK RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295904 | Henderson Emergency Physicians, Pllc | Emergency Medicine | 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 | 2005-06-16 |
| 1639777212 | Clarissa Stephens | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-15 |
| 1447857016 | Victoria Mccloskey | Occupational Therapist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-06 |
| 1649883190 | Gloria Eun-sun Chun | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-5932 | 2020-08-25 |
| 1386270460 | Jacob Keith Poe | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-03-20 |
| 1821554643 | Claudia Kostich | Specialist/Technologist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-17 |
| 1407312424 | Kevin Austin Rapp | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-14 |
| 1265905780 | Shakiera Whyte | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-01-08 |
| 1174006902 | Dlp Maria Parham Physician Practices LLC | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
| 1083197818 | Dlp Maria Parham Physician Practices LLC | Surgery | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
| 1760557151 | Leda W.z. Edwards | Physician Assistant | 6301 Mountain Vista, Suite #205, Henderson, NV 89014 | 2006-11-21 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1750997078 | Els Dauven | Physician Assistant | 10950 S Eastern Ave Ste 100, Henderson, NV 89052-4971 | 2020-09-22 |
| 1952926297 | Dana Shepherd | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-06-12 |
| 1861957722 | Michaela R Parrish | Physician Assistant | 1621 Front St, Henderson, NE 68371-8902 | 2019-02-05 |
| 1770056566 | Justin Peter Spangler | Physician Assistant | 2900 N Green Valley Pkwy, Henderson, NV 89014-0410 | 2019-01-04 |
| 1396217493 | Audrey N Darreguet | Physician Assistant | 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 | 2018-12-30 |
| 1871082511 | Robert Wimmer | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-05-08 |
| Find all providers in HENDERSON | ||||
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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.