Provider Demographics
NPI:1992703128
Name:CASTON, JOHN CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:CASTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:CHRISTOPHER
Other - Last Name:CASTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:480 FLOYD RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1518
Mailing Address - Country:US
Mailing Address - Phone:864-585-0329
Mailing Address - Fax:864-585-8808
Practice Address - Street 1:480 FLOYD RD STE A
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1518
Practice Address - Country:US
Practice Address - Phone:864-585-0328
Practice Address - Fax:864-585-8808
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC63552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC063558Medicaid
SC063558Medicaid
406261050Medicare PIN
D99339Medicare UPIN