DR. MICHAEL MERRITT KOSTENKO (NPI# 1548328800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548328800 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MERRITT KOSTENKO |
| Credential | DO |
| Practice Address |
3050 C & O Dam Road Daniels WV 25832 |
| Mailing Address |
P O Box 88 3050 C & O Dam Road Daniels WV 25832 |
| Practice Telephone | 3047630199 |
| Practice Fax Number | 3047632137 |
| Mailing Telephone | 3047630199 |
| Mailing Fax Number | 3047632137 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1078 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083980 | Michael Kostenko | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-02-03 |
| Street Address |
3050 C & O DAM ROAD |
| City | DANIELS |
| State | WV |
| Zip Code | 25832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757028 | Ashley Dawn Smith | Technician | 1197 C&o Dam Rd, Daniels, WV 25832 | 2020-10-15 |
| 1558974725 | Amber Burgess | Technician | 102 Wood Ave, Daniels, WV 25832 | 2020-08-27 |
| 1457716359 | Performance Physical Therapy and Rehabilitation | Clinic/Center | 1338 Ritter Dr., Daniels, WV 25832 | 2015-12-18 |
| 1982040846 | Kaitlyn Martha Brown | Physical Therapist | 1338 Ritter Drive, Daniels, WV 25832 | 2013-05-20 |
| 1952650343 | Linguacare Associates | Clinic/Center | 120 Hanworth Lane, Daniels, WV 25832 | 2012-08-31 |
| 1922169705 | Jarrells Pharmacy Inc | Pharmacy | 2122 Ritter Drive, Daniels, WV 25832 | 2006-12-13 |
| 1386008522 | Cynthia Walker | Pharmacist | 2122 Ritter Dr, Jarrell's Pharmacy, Daniels, WV 25832 | 2016-04-13 |
| 1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
| 1922530427 | Chad Hinz | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-04-03 |
| 1710136148 | Michelle L Dudding | Nurse Anesthetist, Certified Registered | 109 Wells Ln, Daniels, WV 25832-9016 | 2008-09-10 |
| Find all providers in zip 25832 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618907 | Community Health Systems Inc | Family Medicine | 351 4h Lake Rd, Daniels, WV 25832-9531 | 2019-09-17 |
| 1932291234 | Amy L Brown | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2006-09-28 |
| 1801317680 | Bryce Mcdaniel | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2017-06-30 |
| 1114448321 | James C Garvin | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2017-06-28 |
| 1164874798 | Richard Dwight Meadows Jr. | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2016-07-07 |
| 1780099655 | Zachary Tyler Halsey | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2014-06-30 |
| 1851659387 | Michael Louis Antolini | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2012-05-03 |
| 1235405671 | Jamie Yahya Blankenship | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2012-03-29 |
| 1700979812 | Rodney L Fink | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2006-10-02 |
| 1508959511 | Kimberly D Ballard | Family Medicine | 2157 Ritter Dr, Daniels, WV 25832-9371 | 2006-10-02 |
| Find all providers in DANIELS | ||||
Please comment or provide details below to improve the information on DR. MICHAEL MERRITT KOSTENKO.
| 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.