ANDREA KOSTELAC (NPI# 1699170282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699170282 |
| Entity Type | Individual |
| Full Name | ANDREA KOSTELAC |
| Credential | NP |
| Practice Address |
424 Highland Ave Williamstown WV 26187-1249 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 3043754656 |
| Practice Fax Number | 3043752449 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.16754-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810029053 | 05 | |
| OH | 0113916 | 05 |
| Street Address |
424 HIGHLAND AVE |
| City | WILLIAMSTOWN |
| State | WV |
| Zip Code | 26187-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600219 | Mhc Physicians, Inc. | Family Medicine | 424 Highland Ave, Williamstown, WV 26187-1249 | 2006-10-09 |
| 1932482874 | Dana R. Cruse | Nurse Practitioner | 424 Highland Ave, Williamstown, WV 26187-1249 | 2011-09-27 |
| 1003034281 | Katrina R Barnes | Family Medicine | 424 Highland Ave, Williamstown, WV 26187-1249 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594757 | Mountain River Physical Therapy, LLC | Clinic/Center | 108 Osprey Drive, Suite B, Williamstown, WV 26187 | 2020-10-05 |
| 1669984738 | Michael Shawn Frazier | Technician | 413 Henderson Ave., Williamstown, WV 26187 | 2017-10-30 |
| 1881053783 | Jessica Foss | Massage Therapist | 1113 Highland Ave, Williamstown, WV 26187 | 2016-02-19 |
| 1619302924 | First Settlement Physical Therapy | Clinic/Center | 601 Highland Ave, Williamstown, WV 26187 | 2013-09-05 |
| 1518091446 | Karen Elizabeth Wright | Home Health Aide | 3890 Williamstown Pike, Williamstown, WV 26187 | 2007-03-15 |
| 1992871834 | Stephen A Davis | Dentist | 447 Oakwood Avenue, Williamstown, WV 26187 | 2006-11-24 |
| 1720181241 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 2399 Williams Highway, Williamstown, WV 26187 | 2006-09-07 |
| 1083212666 | Timinia Jaquell Edwards | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-15 |
| 1508464298 | Adam Wade | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| 1003414707 | Tammy Johnson | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| Find all providers in zip 26187 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843920 | Ngozi Oluchi Amugo | Nurse Practitioner | 1005 Cezanne Ct, Williamstown, NJ 08094 | 2018-09-03 |
| 1093291866 | Dana Catello | Nurse Practitioner | 1823 Stallion Ct, Williamstown, NJ 08094-8745 | 2018-07-16 |
| 1740781046 | Leena Raju | Nurse Practitioner | 925 S Black Horse Pike # A, Williamstown, NJ 08094-1900 | 2018-02-22 |
| 1992229645 | Kristina Kitano | Nurse Practitioner | 700 Cherry Blossom Rd, Williamstown, NJ 08094-5702 | 2017-08-02 |
| 1073977450 | Gloria Chioma Chomicki | Nurse Practitioner | 1654 Woodland Dr, Williamstown, NJ 08094-3384 | 2016-04-11 |
| 1972912954 | Rosily James | Nurse Practitioner | 1179 Tamarind Pl, Williamstown, NJ 08094-3893 | 2014-08-04 |
| 1053520379 | Deborah J Flynn | Nurse Practitioner | 105 The Knolls, Thompson Health Center, Williamstown, MA 01267 | 2007-05-22 |
| 1992253629 | Maryanne Gallagher | Nurse Practitioner | 13 N Black Horse Pike, Williamstown, NJ 08094-1402 | 2016-09-11 |
| 1225401656 | Sarah Jf Kangas | Nurse Practitioner | 197 Adams Rd, Williamstown, MA 01267 | 2015-11-06 |
| 1427398080 | Wanda Nocella | Nurse Practitioner | 13 N Black Horse Pike, Williamstown, NJ 08094 | 2013-02-19 |
| Find all providers in WILLIAMSTOWN | ||||
| City | WILLIAMSTOWN |
| Zip Code | 26187 |
Please comment or provide details below to improve the information on ANDREA KOSTELAC.
| 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.