Basic Information
| Provider Information | |||||||||
| NPI: | 1912970955 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CASTALDO | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 11314 | ||||||||
| Address2: | |||||||||
| City: | BELFAST | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049154004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7578424481 | ||||||||
| FaxNumber: | 7573123135 | ||||||||
| Practice Location | |||||||||
| Address1: | 648 GRASSFIELD PKWY STE 1 | ||||||||
| Address2: | |||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233227465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7573126797 | ||||||||
| FaxNumber: | 7574100390 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2006 | ||||||||
| LastUpdateDate: | 12/02/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 12/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101054197 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 250876 | 01 | VA | ANTHEM | OTHER | 2102676 | 01 | VA | UHC/MAMSI | OTHER | PAR | 01 | VA | CIGNA | OTHER | PAR | 01 | VA | AETNA | OTHER | 13501 | 01 | VA | SENTARA | OTHER | 890620J | 05 | NC | MEDICAID | BC/BS | 01 | NC | 0620J | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | 12887 | 01 | VA | SENTARA | OTHER | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER | 005806151 | 05 | VA | MEDICAID | 006090362 | 05 | VA | MEDICAID | -028 | 01 | VA | TRICARE/CHAMPUS | OTHER | 264520 | 01 | VA | ANTHEM | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | PAR | 01 | VA | VIRGINIA HEALTH NETWORK | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/SOUTHEN HEALTH/COVENTRY | OTHER | PAR | 01 | VA | MULTIPLAN | OTHER |