MR. MARIO E COSTALDI (NPI# 1215138144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215138144 |
| Entity Type | Individual |
| Full Name | MR. MARIO E COSTALDI |
| Other Name | DR. MARIO E COSTALDI |
| Credential | M.D. |
| Practice Address |
8051 Deer Trl Rogers AR 72756-7459 |
| Practice Telephone | 4769361537 |
| Mailing Telephone | 4769361537 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R-2511 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DEA NUMBER | AC8266492 | 01 |
| Street Address |
8051 DEER TRL |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-7459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846887 | Northwest Arkansas Breast Care Specialists, Ltd. | Surgery | 701 S Horsebarn Rd, Suite 100, Rogers, AR 72758-8737 | 2014-02-17 |
| 1356362040 | James P Irwin | Surgery | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2006-07-21 |
| 1508808585 | James H Bledsoe | Surgery | 709 Sky Mountain Dr, Rogers, AR 72756-3016 | 2006-06-12 |
| 1518925759 | Douglas Alan Treptow | Surgery | 1001 Horsebarn Road, Rogers, AR 72758 | 2006-05-03 |
| 1962460519 | Douglas Lynn Friesen | Surgery | 2708 S Rife Medical Ln Ste T40, Rogers, AR 72758-1474 | 2006-05-03 |
| 1780676841 | Angela M. Buonagura | Surgery | 1001 Horsebarn Rd, Rogers, AR 72758-8184 | 2005-08-16 |
| 1053755637 | Kyle Jospeh Mackin | Surgery | 1001 S Horsebarn Rd, Rogers, AR 72758 | 2013-04-25 |
| 1538460662 | Mercy Health Northwest Arkansas Communities | Surgery | 1001 Horsebarn Rd, Rogers, AR 72758-8184 | 2010-11-05 |
| 1871790113 | Mark John Perna | Surgery | 1101 S Horsebarn Rd, Rogers, AR 72758-8237 | 2007-06-29 |
| 1871660597 | Colin A Meghoo | Surgery | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2006-11-29 |
| Find all providers in ROGERS | ||||
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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.