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John Costello

Pediatrician Pediatric Cardiologist

171 Ashley Ave
Charleston , South Carolina 29425

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John Costello

Pediatrician Pediatric Cardiologist

171 Ashley Ave
Charleston , South Carolina 29425

(603) 893-8886

Write a Review Save Call

John Costello

Pediatrician Pediatric Cardiologist

171 Ashley Ave
Charleston , South Carolina 29425

(603) 893-8886 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Pediatric Cardiologist

Languages spoken

  • English

Location

171 Ashley Ave Charleston , South Carolina 29425

First Address

  • John Costello
  • Po Box 751461
  • Charlotte, NC
  • Zip : 28275-1461
  • Fax : (603) 893-8886
  • Phone : (843) 792-6200

Second Address

  • John Costello
  • 171 Ashley Ave
  • Charleston, SC
  • Zip : 29425
  • Phone : (843) 792-1414

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FAQs


Where did John Costello attend graduate school?

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Where did John Costello do his residency?

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Where did John Costello do his fellowship?

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Is John Costello board certified?

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What type of doctor is John Costello

Pediatric Cardiologist

In what state does John Costello practice in?

South Carolina

Where is John Costello ’s practice located?

171 Ashley Ave , Charleston, South Carolina, 29425

What is John Costello ’s gender?

Male

Is John Costello a sole practitioner?

No

Is John Costello accepting new patients?

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What languages does John Costello speak?

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Does John Costello accept insurance?

Yes, John Costello accepts insurance

Does John Costello offers telemedicine?

John Costello has not indicated if he offers telemedicine

What is John Costello ’s professional license number?

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What is John Costello ’s NPI number?

1053302992

Does John Costello have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 217260 MA
Y 2080P0202X Pediatric Cardiologist 52686 SC

National Provider Identifier

NPI 1053302992
Provider Name John Costello
First Address Charlotte, NC 28275-1461
Second Address Charleston, SC 29425
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/10/2005
Last Update Date 09/07/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2014416 (05) MA
25-01706 UNITED HEALTHCARE MA (01) MA
26528 BMC HEALTHNET (01) MA
32292 NEIGHBORHOOD HEALTH PLAN (01) MA
3253447 AETNA MA (01) MA
97288001 NETWORK HEALTH (01) MA
AA9211 HARVARD PILGRIM (01) MA
H91442 (02)
J26530 BCBS MA (01) MA
J26530 BLUE CARE ELECT (01) MA
J26530 HMO BLUE (01) MA
JC51504 (05) RI
TUFTS HEALTH PLAN 217260 (01) MA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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