MR. JOSEPH KENNEDY COSTELLO IV (NPI# 1255644787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255644787 |
Entity Type | Individual |
Full Name | MR. JOSEPH KENNEDY COSTELLO IV |
Credential | M.D. |
Practice Address |
224 N. 49th St. #4a Omaha NE 68132 |
Practice Telephone | 4026594247 |
Mailing Telephone | 4026594247 |
Enumeration Date | 2010-07-26 |
Last Update Date | 2013-01-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 25900 | NE | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | PENDING | NE | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245573682 | Joseph Thomas Costello | Psychologist | 50 Sequams Ln W, West Islip, NY 11795-4527 | 2013-04-04 |
1821125527 | Joseph Costello | Pharmacist | 2577 Dolly Bay Dr, Unit 308, Palm Harbor, FL 34684-1136 | 2007-02-28 |
1073607651 | Joseph Patrick Costello IIi | Specialist | 4212 N Illinois St, Swansea, IL 62226-1835 | 2006-10-03 |
1578163598 | Joseph Anthony Costello IIi | Behavior Technician | 100 N Staebler Rd Ste A-b, Ann Arbor, MI 48103-9755 | 2020-10-28 |
1578160982 | Joseph C Costello | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-08 |
1639506017 | Joseph Patrick Costello | Physical Therapist | 57 W 57th St Fl 15, New York, NY 10019-2832 | 2013-10-01 |
1952613671 | Joseph M Costello | Podiatrist | 2121 N Baltimore St, Kirksville, MO 63501-5110 | 2010-07-10 |
1508004813 | Joseph T Costello | Physician Assistant | 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2009-01-23 |
1992979710 | Joseph Costello | Massage Therapist | 2935 Baseline Rd Ste 300, Boulder, CO 80303-2367 | 2008-04-14 |
1639148216 | Joseph J. Costello | Podiatrist | 45 N Main St, Suite 1, Pittston, PA 18640-1915 | 2006-03-16 |
Street Address |
224 N. 49TH ST. #4A |
City | OMAHA |
State | NE |
Zip Code | 68132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588067227 | Yusuke Namba | Student in an Organized Health Care Education/Training Program | 7070 Capitol Court Apt 872, Omaha, NE 68132 | 2014-10-08 |
1811262314 | Jessica Ann Stallings | Counselor | 621 N 51st St, Omaha, NE 68132 | 2012-03-15 |
1639469927 | Derrick Metschke | Anesthesiology | 1101 N. 50th Ave, Omaha, NE 68132 | 2011-04-08 |
1366774416 | Emergency Physicians of Eastern Nebraska, PC | Emergency Medicine | 2500 Bellevue Center Drive, Emergency Department, Bellevue, NE 68132 | 2010-01-31 |
1871726125 | Micaila M Ruiz | Pharmacist | 820 N Saddle Creek Road, Omaha, NE 68132 | 2009-09-02 |
1790929412 | Andrew Ryan Thompson | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132 | 2009-04-24 |
1508084450 | Adoption Links Worldwide | Counselor | 5017 Leavenworth St., Ste 1, Omaha, NE 68132 | 2007-04-23 |
1164596391 | John F Parra | Dentist | 5006 Dodge St, Omaha, NE 68132 | 2006-11-20 |
1750860219 | Geri Mcvey | Registered Nurse | 5002 Underwood Ave, Omaha, NE 68132 | 2018-08-07 |
1255794632 | Maureen Kathleen Feeney | Acupuncturist | 8031 W. Center Rd, Suite 225, Omaha, NE 68132 | 2016-04-01 |
Find all providers in zip 68132 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
1013283431 | Daniel J Gross | General Practice | 1501 Jackson St Ste 100, Omaha, NE 68102-3146 | 2012-03-29 |
1326369075 | Gbgh | General Practice | 12309 Gold Street, Omaha, NE 68144-2760 | 2010-06-17 |
1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
1902058381 | Antoinette Louise Tribulato | General Practice | 405 N 39th St, Omaha, NE 68131-2308 | 2008-10-16 |
1801076559 | Kay E Ticen Md | General Practice | 6818 Grover St Ste 201, Omaha, NE 68106-3632 | 2007-11-10 |
1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
1033267406 | Vijay Kumar Agarwal | General Practice | 727 N 120th St, Omaha, NE 68154-4212 | 2007-01-08 |
1225660244 | 88 Medicine LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-02-07 |
1033769559 | Jackson Medical Services | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-09-17 |
Find all providers in OMAHA |
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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.