MR. BRIAN L. COSTELLO (NPI# 1154306454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154306454 |
Entity Type | Individual |
Full Name | MR. BRIAN L. COSTELLO |
Credential | PA-C |
Practice Address |
5310 Homestead Rd Ne Suite 301 Albuquerque NM 87110-1437 |
Practice Telephone | 5058724700 |
Practice Fax Number | 5058724709 |
Mailing Telephone | 5058724700 |
Mailing Fax Number | 5058724709 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2016-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962829416 | Brian Michael Costello | Counselor | 5182 East Pkwy, Hamburg, NY 14075-5748 | 2014-03-22 |
1477982064 | Brian Costello | Durable Medical Equipment & Medical Supplies | 4916 N Crescent Ave, Norridge, IL 60706-3108 | 2013-11-05 |
1437352911 | Brian Joseph Costello | Internal Medicine | 3080 Hamilton Blvd, Suite 350, Allentown, PA 18103-3694 | 2007-06-11 |
1821144163 | Brian Eoin Costello | Pediatrics | 1645 Tullie Cir Ne, Division of Pediatric Emergency Medicine, Atlanta, GA 30329-2304 | 2007-01-27 |
1396833257 | Brian John Costello | Physician Assistant | 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 | 2006-10-10 |
1932179181 | Brian A Costello | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-23 |
Street Address |
5310 HOMESTEAD RD NE SUITE 301 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-1437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194710442 | Sky B Connolly | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2005-09-13 |
1518403492 | Pamela O Moore | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2017-01-16 |
1184096190 | Gary Lee Joseph Giron | Counselor | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2015-10-29 |
1821467374 | Erica A Montoya | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2015-09-15 |
1306238324 | Tree of Life Massage and Wellness LLC | Massage Therapist | 5310 Homestead Rd Ne, Suite 202a, Albuquerque, NM 87110-1437 | 2015-02-27 |
1376739052 | Teri M Rolan | Pharmacist | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-09-17 |
1740485275 | Suraj Gopal Reddy | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2007-06-15 |
1316079973 | Carol Lynn Hunter | Nurse Practitioner | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-03-09 |
1639218639 | Shilpa Gopal Reddy | Specialist | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2007-02-06 |
1790886240 | Robert Campbell Jones | Chiropractor | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
1457686511 | Bayle R. Curtis | Physician Assistant | 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 | 2009-10-07 |
1215173919 | Amber Dawn Hansen | Physician Assistant | 1100 Cenrral Ave Se, Albuquerque, NM 87106 | 2008-12-30 |
1508028606 | Angela Genette Baumeister | Physician Assistant | 707 13th St Nw, Albuquerque, NM 87102-1841 | 2008-06-30 |
1528230117 | Laura Wylie | Physician Assistant | 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 | 2008-03-24 |
1457406951 | Deneen Tomayko | Physician Assistant | 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 | 2007-01-24 |
1083793665 | Karen Kay Nester | Physician Assistant | 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on MR. BRIAN L. COSTELLO.
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.