MR. JOSEPH KENNEDY COSTELLO IV


Address: 224 N. 49th St. #4a, Omaha, NE 68132
Phone: 4026594247

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).

Provider Overview

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

Taxonomy

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

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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
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Office Location

Street Address 224 N. 49TH ST. #4A
City OMAHA
State NE
Zip Code 68132

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City OMAHA
Zip Code 68132

Improve Information

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Dataset Information

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.

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