MICHELLE KOSTELANSKY (NPI# 1750763223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750763223 |
| Entity Type | Individual |
| Full Name | MICHELLE KOSTELANSKY |
| Practice Address |
5401 Old York Rd Klein Building Suite 510 Philadelphia PA 19141-3030 |
| Practice Telephone | 2154566930 |
| Practice Fax Number | 2154563529 |
| Mailing Telephone | 2154566930 |
| Mailing Fax Number | 2154563529 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA057270 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 OLD YORK RD KLEIN BUILDING SUITE 510 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192739 | Walter L Gerber | Urology | 5401 Old York Rd, Suite 200, Philadelphia, PA 19141-3030 | 2005-08-26 |
| 1548885007 | Sagar Vinay Desai | Surgery | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2020-06-10 |
| 1053930958 | Renee Wynn | Nurse Practitioner | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2020-04-10 |
| 1598240012 | Jill Kile | Internal Medicine | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2018-10-01 |
| 1841788957 | Michele Butler | Registered Nurse | 5401 Old York Rd, Philadelphia, PA 19141 | 2018-04-24 |
| 1245755495 | Moayad Al Sona | Internal Medicine | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2017-08-09 |
| 1952852196 | Sung Min Lee | Physician Assistant | 5401 Old York Rd, Klein Building - Suite 505, Philadelphia, PA 19141-3030 | 2016-10-24 |
| 1285185751 | Einstein Practice Plan | Physician Assistant | 5401 Old York Rd, Klein Building-suite 505, Philadelphia, PA 19141-3030 | 2016-10-20 |
| 1154879906 | Daniella Zolotnitsky | Dietitian, Registered | 5401 Old York Rd, Klein 505, Philadelphia, PA 19141-3030 | 2016-09-21 |
| 1780049445 | Danielle Curran | Nurse Practitioner | 5401 Old York Rd, Suite 101, Philadelphia, PA 19141-3030 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992963391 | Meredith Alley | Physician Assistant | 34th St & Civic Center Blvd 3rd Floor Wood Building, Childrens Hospital of Philadelphia Division of Urology, Philadelphia, PA 19104 | 2008-06-02 |
| 1477738524 | Jennifer L Spicer | Physician Assistant | 8834 Germantown Ave, Chestnut Hill Hospital, Philadelphia, PA 19118-4399 | 2008-01-08 |
| 1366653503 | Gary Alan Cook | Physician Assistant | 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 | 2007-05-26 |
| 1063516110 | Mitchell Charles Staska | Physician Assistant | Philadelpia Veterans Hospital, University and Woodland Avenue, Philadelphia, PA 19104 | 2006-09-11 |
| 1932755071 | Jessica Lauren Dell'aquila | Physician Assistant | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-08-14 |
| 1598224420 | Dana Beth Krimker | Physician Assistant | 10800 Knights Rd, Philadelphia, PA 19114 | 2019-03-19 |
| 1124582259 | Tiffany Si-ya Sun | Physician Assistant | 3400 Spruce St, 10 Silverstein, Philadelphia, PA 19104-4238 | 2019-01-23 |
| 1649744178 | Madison Ann Vitelli | Physician Assistant | 800 Spruce St, Philadelphia, PA 19107 | 2019-01-17 |
| 1861964439 | Mary Katherine Tonetti | Physician Assistant | 3400 Spruce St, 2 Dulles, Philadelphia, PA 19104-4238 | 2018-12-20 |
| 1770054702 | Laura Elizabeth Ayd | Physician Assistant | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114-1440 | 2018-12-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on MICHELLE KOSTELANSKY.
| 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.