Donald J Costic (NPI# 1689906737, PAC ID# 3375677842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1689906737 |
| PAC ID by PECOS | 3375677842 |
| Professional Enrollment ID | I20130814000643 |
| Full Name | Donald J Costic |
| Organization Legal Name | LAKE NORMAN INPATIENT SPECIALISTS |
| Address |
171 Fairview Rd Mooresville NC 28117-9500 |
| Phone Number | 7046604000 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7315241338 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340144 | DAVIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 171 Fairview Rd, Mooresville, NC 28117-9500 | 7046604000 | LAKE NORMAN INPATIENT SPECIALISTS |
| Organization Legal Name | LAKE NORMAN INPATIENT SPECIALISTS |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Abbott | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Khawaja Ateeq Rehman | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Vijaykumar Ramniklal Jarsania | Family Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Iffath Yar Khan | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Thierry M Mallet | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Mckay B Crowley | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Jonathan D Cowen | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Sangeetha Potu | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Jitendra K Patel | Hospitalist | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Street Address |
171 FAIRVIEW RD |
| City | MOORESVILLE |
| State | NC |
| Zip | 28117-9500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Abbott | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Andrew J Sewalish | Physician Assistant | Mecklenburg Radiology Associates Pa | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Alison Koehler | Pathology | L A Lorenzo Md Pathology Consult Services P A | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Mark S Noble | Physician Assistant | Mecklenburg Radiology Associates Pa | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Khawaja Ateeq Rehman | Internal Medicine | Lake Norman Inpatient Specialists | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Frederick Mast Dula Jr. | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| John F Perrin | Emergency Medicine | Lake Norman Emergency Medical Associates LLC | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Joshua Daniel Russ | Physician Assistant | Mecklenburg Radiology Associates Pa | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Edgar O Hartle | Pathology | L A Lorenzo Md Pathology Consult Services P A | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Christopher E Velligan | Emergency Medicine | Lake Norman Emergency Medical Associates LLC | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Folstad | Emergency Medicine | Carolina Vein Associates Pllc | 206 Joe V Knox Ave H, Mooresville, NC 28117 |
| Paul C Davis | Chiropractic | 514 Williamson Rd, Suite 411, Mooresville, NC 28117-3382 | |
| Gregory Ott | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Heather J Osborne | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Robert C Monson Iii | Optometry | 125 Commerce Park Rd, Suite 103, Mooresville, NC 28117-4818 | |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Monica L Webb | Physician Assistant | Mooresville Ppm LLC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Rebecca M Panuski | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Bruce S Mather | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Elisabeth E Stoffel | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Find all physicians in zip 28117 | |||
| City | MOORESVILLE |
| Zip Code | 28117 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOORESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Donald J Costic.
| 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.