MICHAEL JOHN KOSTAL (NPI# 1033271630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033271630 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN KOSTAL |
| Credential | MD |
| Practice Address |
250 King of Prussia Rd Radnor PA 19087-5235 |
| Practice Telephone | (610) 902-2273 |
| Mailing Telephone | (610) 902-2273 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C1-0009057 | DE | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD431026 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A87411 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MT189187 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245594050 | Michael Ted Kostal | Dentist | 6632 W 10th St Ste 101, Greeley, CO 80634-9734 | 2012-06-26 |
| Street Address |
250 KING OF PRUSSIA RD |
| City | RADNOR |
| State | PA |
| Zip Code | 19087-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881329 | Mark Bertram Sostek | Internal Medicine | 250 King of Prussia Rd, Penn Medicine At Radnor, Radnor, PA 19087-5220 | 2005-12-08 |
| 1255972956 | Nichelle M Logan | Pharmacist | 250 King of Prussia Rd, Radnor, PA 19087-5227 | 2019-10-03 |
| 1205344959 | Trudy A Lauro | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2018-01-16 |
| 1578088712 | Marilyn Grace Purvis | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2017-08-09 |
| 1134654361 | Susan Prescott Thompson | Nurse Practitioner | 250 King of Prussia Rd, Suite 2j, Radnor, PA 19087-5235 | 2017-04-25 |
| 1477917433 | Kari Adams Torp | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5220 | 2016-04-06 |
| 1528450087 | Amber Silas | Nurse Practitioner | 250 King of Prussia Rd, Ste 1b, Radnor, PA 19087-5235 | 2015-02-20 |
| 1144665860 | Jennifer Lynne Michener | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-05-08 |
| 1235572066 | Lilia Lakhtman | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-11 |
| 1952744989 | Meaghan Henrici | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447591474 | Carl None Bancoff | Internal Medicine | 200 Hermitage Dr, Radnor, PA 19087-3722 | 2013-03-15 |
| 1295094985 | Ashley Marie Brogan | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2012-05-15 |
| 1114089711 | Nazanin Moghbeli | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2006-12-14 |
| 1861553406 | Maren Elizabeth Jeffery | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2006-12-13 |
| 1336253350 | Trustees of The University of Pennsylvania | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5220 | 2006-08-18 |
| 1881621787 | Susan Celia Brozena | Internal Medicine | 250 King of Prussia Road, Radnor, PA 19087-5220 | 2006-06-27 |
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|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
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| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.