Provider Demographics
NPI:1336561539
Name:CASTLE, KATHERINE OSUSKY (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:OSUSKY
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 ESSEN LN
Mailing Address - Street 2:BATON ROUGE
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3738
Mailing Address - Country:US
Mailing Address - Phone:225-767-0847
Mailing Address - Fax:225-766-0218
Practice Address - Street 1:4950 ESSEN LN
Practice Address - Street 2:BATON ROUGE
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3738
Practice Address - Country:US
Practice Address - Phone:225-767-0847
Practice Address - Fax:225-766-0218
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2068942085R0001X
TXBP10037862390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2364057Medicaid
LA358457YRKZMedicare PIN
LA358457YK70Medicare PIN