Provider Demographics
NPI:1881665677
Name:CASTLE, THOMAS HARMON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HARMON
Last Name:CASTLE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:1231 116TH AVE NE
Practice Address - Street 2:SUITE 750
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3804
Practice Address - Country:US
Practice Address - Phone:425-455-3600
Practice Address - Fax:425-455-3920
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2012-05-15
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Provider Licenses
StateLicense IDTaxonomies
WAMD00025341207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0122276OtherL & I
WAGAB04792OtherMEDICARE POSM
WA200034303OtherMEDICARE RR KING CO.
WAG8853678OtherMEDICARE EMRI
WAG8853678OtherMEDICARE EMRI