| Dr Kevin Castillo, DO | |
|
2041 Valleygate Dr Ste 101, Fayetteville, NC 28304-3746 | |
| (910) 223-7011 | |
| (910) 323-3650 |
| Full Name | Dr Kevin Castillo |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 15 Years |
| Location | 2041 Valleygate Dr Ste 101, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760778047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 34.011963 (Ohio) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 2026-03144 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Regional Medical Center | Salem, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Gastroenterology Clinic And Endoscopy Center Inc | 3274429477 | 37 |
| Sch Professional Corporation | 0941291868 | 58 |
| Entity Name | The Gastroenterology Clinic & Endoscopy Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952497117 PECOS PAC ID: 3274429477 Enrollment ID: O20040225000211 |
| Entity Name | Sch Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619959822 PECOS PAC ID: 0941291868 Enrollment ID: O20040520000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Castillo, DO 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-4000 | Dr Kevin Castillo, DO 2041 Valleygate Dr Ste 101, Fayetteville, NC 28304-3746 Ph: (910) 223-7011 |
Kenneth Melton, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Alexander C Flower, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-7392 |