KEVIN RONDEAU COSTIN (NPI# 1487614145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487614145 |
| Entity Type | Individual |
| Full Name | KEVIN RONDEAU COSTIN |
| Credential | P.A.-C |
| Practice Address |
601 Riverway Pl Unit 6 Bedford NH 03110-6767 |
| Mailing Address |
601 Riverway Pl Unit 6 Suite 110 Bedford NH 03110-6767 |
| Practice Telephone | 6036222112 |
| Practice Fax Number | 6036241570 |
| Mailing Telephone | 6036222112 |
| Mailing Fax Number | 6036241570 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0012P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184015257 | Kevin Costin | Specialist/Technologist | 400 Celebration Pl, Attn: Sports Medicine, Celebration, FL 34747-4970 | 2015-02-11 |
| Street Address |
601 RIVERWAY PL UNIT 6 |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770928582 | Charlotte Elizabeth Phaneuf | Nurse Practitioner | 601 Riverway Pl Unit 6, Bedford, NH 03110-6767 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558790709 | Emily R Auger | Physician Assistant | 25 S River Road, Dartmouth Hitchcock - Internal Medicine, Bedford, NH 03110 | 2013-11-08 |
| 1841250438 | Kristen Dawn Brannon | Physician Assistant | 3024 State Hwy 121, Bedford, TX 76021 | 2006-03-27 |
| 1366922874 | Melinda T Pace | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2018-08-15 |
| 1528554581 | Simone C Prioli | Physician Assistant | 154 Great Rd, Bedford, MA 01730-2725 | 2018-07-02 |
| 1629439476 | Caitlin Elizabeth Colosky | Physician Assistant | 1615 Hospital Pkwy, Suite 306, Bedford, TX 76022-5934 | 2016-03-08 |
| 1164777512 | James Rodriguez | Physician Assistant | 1305 Airport Fwy, Bedford, TX 76021-6605 | 2012-07-20 |
| 1568405231 | Christopher M Schwieger | Physician Assistant | 25 S River Rd, Bedford, NH 03110-6708 | 2006-06-13 |
| 1023088556 | Michelle O'mahony | Physician Assistant | 160 S River Rd, Bedford, NH 03110-6927 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848372 | Stacy Foote | Physician Assistant | 7 Independence Dr, Pelham, NH 03076-2331 | 2018-10-31 |
| 1104370154 | Eric Allen Senneville | Physician Assistant | 20 Chambers Dr Ste 2200, Hooksett, NH 03106-1981 | 2016-08-08 |
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1831511096 | Archita Patel | Physician Assistant | 8 Oak Hill Ln, Exeter, NH 03833-4569 | 2014-01-07 |
| 1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
| 1932422938 | Valerie A Romoser | Physician Assistant | 28 Gervaise Dr, Derry, NH 03038-4609 | 2010-03-04 |
| 1215177852 | Amy M Lovett | Physician Assistant | 220 Cottage Street, Littleton, NH 03561-4101 | 2009-02-23 |
| 1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
| 1083804991 | Ellen Dennehy | Physician Assistant | 3 Water Village Road, Ossipee, NH 03864 | 2007-07-26 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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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.