Nicholas Costrini (NPI# 1063444636, PAC ID# 2466627302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1063444636 |
| PAC ID by PECOS | 2466627302 |
| Professional Enrollment ID | I20190321001179 |
| Full Name | Nicholas Costrini |
| Organization Legal Name | GI ASSOCIATES OF BIG BEND LLC |
| Address |
2457 Care Dr Suite D100 Tallahassee FL 32308-3500 |
| Phone Number | 8505912979 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1973 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4587930995 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100254 | CAPITAL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2457 Care Dr, Suite D100, Tallahassee, FL 32308-3500 | 8505912979 | GI ASSOCIATES OF BIG BEND LLC |
| Organization Legal Name | GI ASSOCIATES OF BIG BEND LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Glickenberger | Gastroenterology | Gi Associates of Big Bend LLC | 2457 Care Dr, Suite D100, Tallahassee, FL 32308-3500 |
| Street Address |
2457 CARE DR SUITE D100 |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Glickenberger | Gastroenterology | Gi Associates of Big Bend LLC | 2457 Care Dr, Suite D100, Tallahassee, FL 32308-3500 |
| Leonard S Leichus | Gastroenterology | Gi Associates of Tallahassee P L | 2457 Care Dr, D100, Tallahassee, FL 32308-3500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Vatsal Patel | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | TALLAHASSEE + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.