DR. KATHLEEN A COSTANZO (NPI# 1528349396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528349396 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A COSTANZO |
| Credential | DO |
| Practice Address |
311 W 24th St Ste 305 Erie PA 16502-2666 |
| Practice Telephone | 8144544484 |
| Mailing Telephone | 8144544484 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OS014849 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERIHEALTH MERCY - WMG | 30106933 | 01 |
| MD | 441180300 | 05 | |
| PA | UPMC | 417898 | 01 |
| PA | GATEWAY | 1602874 | 01 |
| PA | 102645606 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4950 Buffalo Rd, Erie, PA 165102304 | 8148997000 | |
| 5165 Imperial Pkwy, Girard, PA 164179524 | 8147743128 |
| Street Address |
311 W 24TH ST STE 305 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427033208 | Laura J Mcintosh | Family Medicine | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2005-12-14 |
| 1285127373 | Adesh Vohora | Student in an Organized Health Care Education/Training Program | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2018-06-13 |
| 1750730669 | Mahwish Khan | Family Medicine | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2016-06-10 |
| 1023422219 | Mrinalini Panthagani | Family Medicine | 311 W 24th St Ste 305, Erie, PA 16502 | 2014-06-16 |
| 1366877086 | Alexa K Meyer | Social Worker | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2013-09-12 |
| 1770921538 | Edward Robert Ellis | Family Medicine | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2013-06-13 |
| 1053479980 | Jan K Brydon | Dermatology | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2006-12-04 |
| 1578525945 | Steven A Levy | Internal Medicine | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2006-04-03 |
| 1588630362 | Timothy D Pelkowski | Family Medicine | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2006-02-23 |
| 1184603508 | Mark K Vatavuk | Family Medicine | 311 W 24th St Ste 305, Erie, PA 16502-2666 | 2006-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158737 | Millcreek Community Hospital | Family Medicine | 5401 Peach St Ste 3400, Erie, PA 16509-2601 | 2020-03-04 |
| 1578686382 | Lisa Brone | Family Medicine | 149 S Briggs St, Ste 103b, Erie, CO 80516-4064 | 2007-04-08 |
| 1306931134 | Saint Vincent Medical Education and Research Institute | Family Medicine | 4671 W Lake Rd, Erie, PA 16505-1441 | 2006-10-04 |
| 1174844310 | Christopher Rial | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2010-06-22 |
| 1053412676 | Saint Vincent Medical Education and Research Institue | Family Medicine | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2006-09-26 |
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| 1477037877 | Grand View Hospital | Family Medicine | 419 S Broad St Ste 4, Lansdale, PA 19446-3703 | 2018-09-20 |
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| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1952715211 | Scott Medical Health Center, PC | Family Medicine | 4472 William Penn Highway, Murrysville, PA 15668 | 2014-06-16 |
| 1558774547 | Enayetullah Neak | Family Medicine | 815 Freeport Rd., Pittsburgh, PA 15215 | 2014-06-06 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| 1972913556 | Brian Stone | Family Medicine | 120 Irmc Dr Ste 100, Indiana, PA 15701 | 2014-05-05 |
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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.