MD John Costello, NPI 1053302992
Pediatric Critical Care Medicine Physician in Charleston, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1053302992 |
| NPI Entity Type | Individual |
| Provider Name | MD John Costello |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 171 Ashley Ave, Charleston, SC, US |
| Provider Mailing Address | Po Box 751461, Charlotte, NC, US, 282751461 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Critical Care Medicine Physician |
| Classification | |
| Group | |
| License No. | 52686 |
| License State | SC |
| Description | A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 217260 | MA | No | |||
| 52686 | SC | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2014416 | MA | MEDICAID | 05 |
| 97288001 | MA | NETWORK HEALTH | 01 |
| TUFTS HEALTH PLAN | MA | 217260 | 01 |
| JC51504 | RI | MEDICAID | 05 |
| 25-01706 | MA | UNITED HEALTHCARE MA | 01 |
| J26530 | MA | HMO BLUE | 01 |
| 3253447 | MA | AETNA MA | 01 |
| 26528 | MA | BMC HEALTHNET | 01 |
| 32292 | MA | NEIGHBORHOOD HEALTH PLAN | 01 |
| AA9211 | MA | HARVARD PILGRIM | 01 |
| J26530 | MA | BCBS MA | 01 |
| J26530 | MA | BLUE CARE ELECT | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | DIRECT | No | 171 Ashley Ave, Charleston, SC, US |
Other Providers in SC, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
NP Sylvia Elaine Wolsky Individual |
1403 E Greenville St Ste D |
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AGPCNP Tamara R. Nuss Individual |
316 Calhoun St |
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OD William Cassidy Strange Individual |
580 Highway 17 N |
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M.D. Teresa Z Sclafani Individual |
805 Pamplico Hwy |
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|
Professional Barber Shop, Inc. Organization |
811 Whittaker Pkwy |
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M.D. Leeanna Marie Clevenger Individual |
510 Albemarle Rd |
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MS. ANP, APRN Joyce Ann Rineer Individual |
150 Ella Kinley Cir Unit 305 |
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Purposeful Prosperity Counseling & Consulting Llc Organization |
514 Maple St |
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LMSW Mary Frances Dorrell Individual |
2100 Charlie Hall Blvd |
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Pointe Dialysis Llc Organization |
1964 Ashley River Rd Suite D-3 |
||
|
CNA Brooke Anne Nichols Individual |
2233 Bethel Rd |
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|
OTR/L Sarah Bagley Individual |
2645 Dutchman Dr |
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Dental Professionals Of South Carolina, P.c. Organization |
148 Sapwood Rd Ste 103 |
||
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AGACNP Kaitlin O'sullivan Individual |
1601 Greene St |
||
|
D.O Mohamed Mohamed Kelli Individual |
920 Doug White Dr Ste 210 |
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|
ARNP Pamela Suzanne Harmon Individual |
701 Grove Rd |
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|
Lawanna S Carson Individual |
4005a Pebblebrook Ct |
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|
MS. BCBA, COBA Brittany Leigh Fyffe Individual |
143 Norwood Dr |
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|
PHARMD Taylor Lynn Brown Individual |
1676 N Highway 17 |
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|
Katherine Elizabeth Leighton Individual |
320 Midland Pkwy Ste C |
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