Provider Demographics
NPI:1609988062
Name:JAMES D KASTEN MD INC
Entity Type:Organization
Organization Name:JAMES D KASTEN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:KASTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-668-2686
Mailing Address - Street 1:278 BENEDICT AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2399
Mailing Address - Country:US
Mailing Address - Phone:419-668-2686
Mailing Address - Fax:419-663-6637
Practice Address - Street 1:278 BENEDICT AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2399
Practice Address - Country:US
Practice Address - Phone:419-668-2686
Practice Address - Fax:419-663-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9309841Medicare ID - Type UnspecifiedGROUP ID