Ivan Castillo-salazar (NPI# 1316155443, PAC ID# 6103912365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1316155443 |
| PAC ID by PECOS | 6103912365 |
| Professional Enrollment ID | I20071018000608 |
| Full Name | Ivan Castillo-salazar |
| Organization Legal Name | TEXAS RETINA ASSOCIATES |
| Address |
7030 New Sanger Rd Suite 102 Waco TX 76712-4073 |
| Phone Number | 2547537007 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7012969843 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450042 | PROVIDENCE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7030 New Sanger Rd, Suite 102, Waco, TX 76712-4073 | 2547537007 | TEXAS RETINA ASSOCIATES |
| Organization Legal Name | TEXAS RETINA ASSOCIATES |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashkan Abbey | Ophthalmology | Texas Retina Associates | 9600 N Central Expy, Suite 100, Dallas, TX 75231-5078 |
| Michel J Shami | Ophthalmology | Texas Retina Associates | 4517 98th St, Lubbock, TX 79424-5013 |
| William B Spencer | Ophthalmology | Texas Retina Associates | 1101 6th Ave, Suite 200, Fort Worth, TX 76104-4377 |
| Gary E Fish | Ophthalmology | Texas Retina Associates | 2380 S Goliad St, Suite 120, Rockwall, TX 75032-6506 |
| Nikisha Ashok Kothari | Ophthalmology | Texas Retina Associates | 801 W Randol Mill Rd, Suite 101, Arlington, TX 76012-2505 |
| Patrick D Williams | Ophthalmology | Texas Retina Associates | 801 W Randol Mill Rd, Suite 101, Arlington, TX 76012-2505 |
| Dwain G Fuller | Ophthalmology | Texas Retina Associates | 10740 N Central Expy, Suite 170, Dallas, TX 75231-2103 |
| Lori E Coors | Ophthalmology | Texas Retina Associates | 1708 Coit Rd, Suite 215, Plano, TX 75075-5025 |
| Rajiv Anand | Ophthalmology | Texas Retina Associates | 10740 N Central Expy, Suite 170, Dallas, TX 75231-2103 |
| Wayne A Solley | Ophthalmology | Texas Retina Associates | 801 W Randol Mill Rd, Suite 101, Arlington, TX 76012-2505 |
| Street Address |
7030 NEW SANGER RD SUITE 102 |
| City | WACO |
| State | TX |
| Zip | 76712-4073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Wright Jr. | Plastic and Reconstructive Surgery | 7030 New Sanger Rd, Waco, TX 76712-4074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WACO + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Ivan Castillo-salazar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.