DR. GEORGE COSTARAS (NPI# 1902886054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902886054 |
| Entity Type | Individual |
| Full Name | DR. GEORGE COSTARAS |
| Credential | D.P.M. |
| Practice Address |
1170 E Broad St Suite 104 Elyria OH 44035-6351 |
| Practice Telephone | 4403666029 |
| Practice Fax Number | 4403666064 |
| Mailing Telephone | 4403666029 |
| Mailing Fax Number | 4403666064 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36-00-2042 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0952394 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256074 | George Costaras | Dentist | 150 E 58th St Fl 7, New York, NY 10155-0002 | 2008-05-23 |
| Street Address |
1170 E BROAD ST SUITE 104 |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836448 | Elyria Foot Clinic Inc. | Podiatrist | 1170 E Broad St, Suite 104, Elyria, OH 44035-6351 | 2006-01-17 |
| 1851573547 | David J Hintz Dpm Inc | Podiatrist | 1170 E Broad St, #3, Elyria, OH 44035-6351 | 2007-12-04 |
| 1619078755 | David J Hintz | Podiatrist | 1170 E Broad St, 103, Elyria, OH 44035-6351 | 2006-09-25 |
| 1285664607 | Ahmed Fawzy | Internal Medicine | 1170 E Broad St, Suite 102, Elyria, OH 44035-6351 | 2006-07-03 |
| 1093745416 | Elena Nunez-rehman | Registered Nurse | 1170 E Broad St, Elyria, OH 44035-6351 | 2006-07-03 |
| 1871529321 | North Coast Nephrology | Internal Medicine | 1170 E Broad St, Suite 2, Elyria, OH 44035-6351 | 2006-06-25 |
| 1598791238 | Vivek Nadkarni | Internal Medicine | 1170 E Broad St, Ste 102, Elyria, OH 44035-6351 | 2006-06-24 |
| 1174572606 | North Coast Surgery Center, LLC | Clinic/Center | 1170 E Broad St, Suite 104, Elyria, OH 44035-6351 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598946832 | Daniel C. Duffy, Dpm, Inc | Podiatrist | 445 Griswold Rd, Elyria, OH 44035-2304 | 2007-11-15 |
| 1407836448 | Elyria Foot Clinic Inc. | Podiatrist | 1170 E Broad St, Suite 104, Elyria, OH 44035-6351 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
| 1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
| 1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
| 1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
| 1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
| 1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
| 1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| 1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
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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.