1932248952 NPI number — CHRISTIE SILVA DEL CASTILLO-HEGYI M.D.

Table of content: CHRISTIE SILVA DEL CASTILLO-HEGYI M.D. (NPI 1932248952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932248952 NPI number — CHRISTIE SILVA DEL CASTILLO-HEGYI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEL CASTILLO-HEGYI
Provider First Name:
CHRISTIE
Provider Middle Name:
SILVA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DEL CASTILLO
Provider Other First Name:
CHRISTIE
Provider Other Middle Name:
SILVA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932248952
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13901 NAPOLEON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72211-5597
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-803-5304
Provider Business Mailing Address Fax Number:
501-325-1411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 SAINT VINCENT CIR
Provider Second Line Business Practice Location Address:
ST. VINCENT INFIRMARY
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72205-5423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-803-5304
Provider Business Practice Location Address Fax Number:
501-325-1411
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  MD2006-0660 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207P00000X , with the licence number: E-7070 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 80102085 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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