DR. RICHARD CASTILLO (NPI# 1649207960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649207960 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CASTILLO |
| Credential | M.D. |
| Practice Address |
3302 Gerig Dr Suite 100 Bloomington IL 61704-6365 |
| Practice Telephone | 3098624000 |
| Practice Fax Number | 3098624055 |
| Mailing Telephone | 3098624000 |
| Mailing Fax Number | 3098624055 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | 036078726 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036078726-3 | 05 | |
| IL | BC/BS | 05721369 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225274335 | Richard Robert Castillo | General Practice | 3000 Espanola St Ne, Albuquerque, NM 87110-2731 | 2008-12-18 |
| 1558854794 | Richard Castillo | Counselor | 2551 Coors Blvd Nw, Albuquerque, NM 87120 | 2018-06-12 |
| 1679593008 | Richard Castillo | Ophthalmology | 1001 N Grand Ave, Tahlequah, OK 74464-7017 | 2006-07-20 |
| 1790763225 | Richard N Castillo | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-04 |
| Street Address |
3302 GERIG DR SUITE 100 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-6365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194751156 | Kathryn Sue Bohn | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-23 |
| 1861703100 | The Vein Specialists, LLC | Emergency Medicine | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2010-07-01 |
| 1871521757 | Thomas Edwin Nielsen | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194751156 | Kathryn Sue Bohn | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-23 |
| 1033468715 | Vein Clinic LLC | Phlebology | 3209 W Fullerton Pike, Suite G, Bloomington, IN 47403-4060 | 2012-09-10 |
| 1033466495 | Varicose Vein Treatment Center | Phlebology | 3209 W Fullerton Pike, Suite C, Bloomington, IN 47403-4060 | 2012-08-04 |
| 1871521757 | Thomas Edwin Nielsen | Phlebology | 3302 Gerig Dr, Suite 100, Bloomington, IL 61704-6365 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602043 | Mvc-chicago, S.c. | Phlebology | 680 N Lake Shore Dr Suite 104, Chicago, IL 60673-1050 | 2011-09-06 |
| 1053511840 | Sw Suburban - Midwest Vascular Center, S. C. | Phlebology | 10755 W 143rd St, Orland Park, IL 60462-1900 | 2007-07-20 |
| 1447343090 | Chicago Vein Institute S.c. | Phlebology | 4906 N. Western Ave., Suite 2, Chicago, IL 60625 | 2006-10-02 |
| 1154378040 | Illinois Phlebology Associates Sc | Phlebology | 14225 S 95th Ave Ste 455, Orland Park, IL 60462-2266 | 2006-05-27 |
| 1457311524 | Stephen Carl Sorenson | Phlebology | 795 Ela Rd Ste 115, Lake Zurich, IL 60047 | 2006-03-24 |
| 1396728978 | Peter Brukasz | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2005-11-28 |
| 1619412574 | The Institute for Vein Health LLC | Phlebology | 10510 S Roberts Rd, Palos Hills, IL 60465-1934 | 2017-01-03 |
| 1457711269 | Lake County Vein Specialists, Sc | Phlebology | 1425 N Hunt Club Rd, Suite 202, Gurnee, IL 60031-2632 | 2016-03-07 |
| 1255603247 | Grand Vein Specialists LLC | Phlebology | 1508 Grand Ave, Waukegan, IL 60085-3653 | 2012-02-06 |
| 1083916845 | Mir Joffrey Md, LLC | Phlebology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2010-11-30 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.