John Costello
Pediatrician Pediatric Cardiologist
171 Ashley Ave
Charleston
, South Carolina 29425
John Costello
Pediatrician Pediatric Cardiologist
171 Ashley Ave
Charleston
, South Carolina 29425
(603) 893-8886
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
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
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.