Provider Demographics
NPI:1376530048
Name:CASTAGNO, ARTHUR A (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:A
Last Name:CASTAGNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4746
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:19020 33RD AVE W
Practice Address - Street 2:SUITE 210
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4746
Practice Address - Country:US
Practice Address - Phone:425-563-1500
Practice Address - Fax:425-563-1374
Is Sole Proprietor?:No
Enumeration Date:2005-09-28
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000240192085R0202X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01137218OtherRAILROAD MEDICARE
WA192333OtherLABOR & IND PROV #
WA192335OtherLNI PROVIDER ID
WA192334OtherLABOR & IND PROV #
WA204095OtherLNI PROVIDER ID
WA1025642Medicaid
WAG8894209Medicare PIN
WA192335OtherLNI PROVIDER ID
WA204095OtherLNI PROVIDER ID
WA8857967Medicare PIN
WAG8894210Medicare PIN
WA192334OtherLABOR & IND PROV #
WA192333OtherLABOR & IND PROV #
WAG8850553Medicare PIN
WA8850553Medicare PIN
WAP01137218OtherRAILROAD MEDICARE
WA1025642Medicaid
WAAB34153Medicare PIN
WAG8918977Medicare PIN