DR. KEVIN FRANCIS COSTELLO (NPI# 1215170204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215170204 |
Entity Type | Individual |
Full Name | DR. KEVIN FRANCIS COSTELLO |
Credential | M.D. |
Practice Address |
927 East Blvd Charlotte NC 28203-5203 |
Mailing Address |
927 East Blvd. Charlotte NC 28203-5203 |
Practice Telephone | 7043775772 |
Practice Fax Number | 7043773389 |
Mailing Telephone | 7043775772 |
Mailing Fax Number | 7043773389 |
Enumeration Date | 2009-04-07 |
Last Update Date | 2016-09-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 0101256526 | VA | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2016-01841 | NC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366675605 | Kevin Costello | Physical Therapist | 831 Coral Ridge Drive, Coral Springs, FL 33071-4180 | 2009-09-03 |
1861441545 | Kevin Robert Costello | Physician Assistant | 458 Old Street Rd, Suite 200, Peterborough, NH 03458-1265 | 2006-05-09 |
1184161994 | Kevin Costello | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2017-01-31 |
1962888461 | Kevin Costello | Pharmacist | 151 N State St, Chicago, IL 60601-3601 | 2015-08-06 |
1104169929 | Kevin Costello | Physical Therapist | 535 Centerville Rd, Suite 101, Warwick, RI 02886-4486 | 2013-03-29 |
1760484224 | Kevin Brian Costello | Internal Medicine | 47 New Scotland Ave, Albany, NY 12208-3412 | 2005-08-15 |
Street Address |
927 EAST BLVD |
City | CHARLOTTE |
State | NC |
Zip Code | 28203-5203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780664896 | Dennis Michael Jacobs | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2006-01-17 |
1881053510 | Lori Foster | Nurse Practitioner | 927 East Blvd, Charlotte, NC 28203-5203 | 2016-02-23 |
1508241902 | Monica Wood | Nurse Practitioner | 927 East Blvd, Charlotte, NC 28203-5203 | 2015-07-27 |
1174817993 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 927 East Blvd, Charlotte, NC 28203 | 2011-06-09 |
1386934164 | Melody G. Herman | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2011-04-13 |
1023335551 | Anesthesiology Consultants of South Carolina, Pllc | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2010-04-23 |
1982839627 | Sara Ann Moseman | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-05-26 |
1619101367 | Kate K Miller | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-05-11 |
1235392523 | Ryan Jackson Corley | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2008-07-07 |
1588837173 | James William Greyard | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2008-04-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
Find all providers in zip 28203 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447726989 | Gestalt Pain Consultants | Pain Medicine | 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210-8910 | 2018-10-23 |
1598893059 | V Pain, LLC | Pain Medicine | 12610 N Community House Rd, Suite 200, Charlotte, NC 28277-3891 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306317011 | United Spine & Pain PC | Pain Medicine | 855 Bradley St Ste A, Concord, NC 28025-2979 | 2018-12-07 |
1144604273 | Justis Group of Edenton | Pain Medicine | 905 Cherry St, North Wilkesboro, NC 28659-4251 | 2015-07-18 |
1578968079 | Carolinas Center for Advanced Management of Pain | Pain Medicine | 2569 Pembroke Rd, Gastonia, NC 28054-4712 | 2014-10-27 |
1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
1558366385 | Sunil K Arora | Pain Medicine | 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 | 2005-06-17 |
1528063542 | Center for Pain Management Pllc | Pain Medicine | 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 | 2005-06-16 |
1992310502 | Southeastern Pain and Wellness, Pllc | Pain Medicine | 402 W King St, King, NC 27021-9170 | 2020-09-10 |
1710592399 | Triangle Pain Institute | Pain Medicine | 2605 Blue Ridge Rd Ste 330, Raleigh, NC 27607-6475 | 2020-09-10 |
1144863358 | Envision Pain Management Pllc | Pain Medicine | 107 Haywood Park Dr, Clyde, NC 28721-4405 | 2019-10-21 |
1518438811 | Medical Innovations Concepts, P.C. | Pain Medicine | 294 N Nc 16 Business Hwy Ste B, Denver, NC 28037-8741 | 2018-12-12 |
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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.