JACASTILLANO PLLC NPI 1861905739

NPI Information

  • NPI: 1861905739
  • Provider Name: JACASTILLANO PLLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • :
  • Address: 5310 BREEZE HILL PL
    TROY, MI
    ZIP 48098
  • Phone: (904) 252-3930

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NPI Details

JACASTILLANO PLLC is a vascular and interventional radiology radiology in Troy, MI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. JACASTILLANO PLLC NPI is 1861905739. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

5310 BREEZE HILL PL
TROY, MI
ZIP 48098-725
Phone: (904) 252-3930

The provider's authorized official is Jesse A Castillano .
The authorized official title is Ceo and has the following contact phone number (904) 252-3930.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 2/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology4301100455MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14301100455OTHERMICHIGANMI LIC#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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