MR. MARK F COSTELLO III (NPI# 1619587987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619587987 |
| Entity Type | Individual |
| Full Name | MR. MARK F COSTELLO III |
| Credential | PA-C |
| Practice Address |
211 Church St Saratoga Springs NY 12866-1090 |
| Mailing Address |
156 Caroline St Apt 2e Saratoga Springs NY 12866-3435 |
| Practice Telephone | 5185873222 |
| Mailing Telephone | 5185220810 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851547004 | Mark Joseph Costello | Physical Therapist | 60 Morrow Ave, Lockport, NY 14094-5015 | 2008-08-07 |
| 1346451754 | Mark Costello | Acupuncturist | 2516 W Main St, Littleton, CO 80120-1913 | 2007-05-25 |
| 1497103550 | Mark Steven Costello Jr. | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2016-05-31 |
| 1710193602 | Mark Adrian Costello | Physical Therapist | 7510 Clairemont Mesa Blvd, Suite 103, San Diego, CA 92111-1539 | 2007-05-15 |
| Street Address |
211 CHURCH ST |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225442 | James Edward Corwin | Family Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2005-06-15 |
| 1578115432 | Elizabeth Bogovich | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1090 | 2019-07-11 |
| 1811463102 | Jacquelyn Y White | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1090 | 2018-10-15 |
| 1790264000 | Colleen Elizabeth Tillson | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1090 | 2018-08-08 |
| 1649756669 | Elizabeth Johnstone | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-07-12 |
| 1942718275 | Saratoga Hospital | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-01-22 |
| 1427561224 | Saara Johanson | Anesthesiology | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-11-15 |
| 1598277162 | Joanna Amelia Robben | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-11-03 |
| 1285159798 | Brian P. Mcdermott, D.o., P.C. | Internal Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-08-04 |
| 1346779873 | Talara Hedgpeth | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699320770 | Donald Jason Willows | Physician Assistant | 3048 S Red Pine Dr, Saratoga Springs, UT 84045-4818 | 2019-08-06 |
| 1467969162 | Eliza Michele Miller | Physician Assistant | 354 Ut-73, Saratoga Springs, UT 84045 | 2018-01-03 |
| 1932616695 | Kevin James Crockett | Physician Assistant | 30 E Hunters Hvn, Saratoga Springs, UT 84045-8169 | 2018-01-03 |
| 1679026876 | Mara Petruccione | Physician Assistant | 21 Bradford Dr, Saratoga Springs, NY 12866-8569 | 2016-07-25 |
| 1730563388 | Ashley Ray | Physician Assistant | 5 Care Ln Ste 100, Saratoga Springs, NY 12866-8623 | 2015-07-14 |
| 1750698858 | Erica Meyers-standley | Physician Assistant | 1 West Ave Ste 300, Saratoga Springs, NY 12866-6050 | 2010-09-10 |
| 1508972654 | Norman Bovee | Physician Assistant | 59 Myrtle St Ste 300, Saratoga Springs, NY 12866-1044 | 2006-08-22 |
| 1841215464 | Kimberly S Mills | Physician Assistant | 414 Maple Ave Ste 300, Saratoga Springs, NY 12866-5533 | 2006-07-13 |
| 1154312593 | Kathy Lynn Herren | Physician Assistant | 377 Church St, Saratoga Springs, NY 12866 | 2005-11-03 |
| 1649279555 | Paul David Clarke | Physician Assistant | 401 Geyser Rd, Saratoga Springs, NY 12866-9069 | 2005-07-21 |
| Find all providers in SARATOGA SPRINGS | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
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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.