Healthcare Provider Details

I. General information

NPI: 1851911077
Provider Name (Legal Business Name): THOMAS CLAY CASTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GRANT ST FL 58
PITTSBURGH PA
15219-2739
US

IV. Provider business mailing address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5325
  • Fax:
Mailing address:
  • Phone: 412-692-5325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD496055
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: