DR. ANTHONY COSTANZO (NPI# 1902257116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902257116 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY COSTANZO |
| Credential | DPM |
| Practice Address |
5047 2nd Ave N St Petersburg FL 33710-8207 |
| Practice Telephone | 9545517730 |
| Mailing Telephone | 9545517730 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487091427 | Anthony J Costanzo | Dentist | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2013-05-31 |
| 1447546734 | Anthony Thomas Costanzo | Physical Therapy Assistant | 44 Jeanette Ave, Staten Island, NY 10312 | 2011-06-24 |
| Street Address |
5047 2ND AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760669 | Dotheria Elaine Bradley | Case Manager/Care Coordinator | 1918 45th St S, St Petersburg, FL 33711-3042 | 2018-08-20 |
| 1568823284 | Sisouk Rattanachane | Case Manager/Care Coordinator | 1501 83rd Ave N, St Petersburg, FL 33702-2851 | 2016-03-08 |
| 1952719858 | Elizabeth Lent | Case Manager/Care Coordinator | 350 79th Ave N Apt 302, St Petersburg, FL 33702-4459 | 2014-07-24 |
| 1346653458 | Leslie Swain | Case Manager/Care Coordinator | 7316 33rd St N, St Petersburg, FL 33702-5540 | 2014-06-05 |
| 1215364575 | Melissa Moody | Case Manager/Care Coordinator | 11401 Dr Martin L King St N, Apt.2404, St Petersburg, FL 33716-2345 | 2013-10-02 |
| 1558610436 | Jennifer Potter | Case Manager/Care Coordinator | 785 100th Ave N # 108, St Petersburg, FL 33702 | 2012-09-06 |
| 1538418520 | Nanci Nolan | Case Manager/Care Coordinator | 2401 3rd Ave N, St Petersburg, FL 33713-7909 | 2012-09-05 |
| 1932454212 | Carol Rose Opitz | Case Manager/Care Coordinator | 205 Martin Luther King Dr, St Petersburg, FL 33701-3109 | 2012-07-23 |
| 1336438688 | Bridget Denise Herring-daniels | Case Manager/Care Coordinator | 205 Mlk St N, St Petersburg, FL 33701-3109 | 2011-04-06 |
| 1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.