John A Costin (NPI# 1497711659, PAC ID# 3971516121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1497711659 |
| PAC ID by PECOS | 3971516121 |
| Professional Enrollment ID | I20060711000293 |
| Full Name | John A Costin |
| Organization Legal Name | JUBILEE HEALTHCARE LLC |
| Address |
36711 American Way Avon OH 44011-4062 |
| Phone Number | 4404553353 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4789972670 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360180 | CLEVELAND CLINIC |
| 360364 | |
| 360025 | FIRELANDS REGIONAL MEDICAL CENTER |
| 360065 | FISHER-TITUS HOSPITAL |
| 360137 | UNIVERSITY HOSPITALS CASE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 36711 American Way, Avon, OH 44011-4062 | 4404553353 | JUBILEE HEALTHCARE LLC |
| 36711 American Way, Suite A, Avon, OH 44011-4062 | 4404553353 | JUBILEE HEALTHCARE LLC |
| 9300 Euclid Ave, Cleveland, OH 44195-0001 | 2164458124 | THE CLEVELAND CLINIC FOUNDATION |
| 9500 Euclid Ave, Cleveland, OH 44195-0001 | THE CLEVELAND CLINIC FOUNDATION |
| Organization Legal Name | JUBILEE HEALTHCARE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher C Rupprecht | Physician Assistant | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Chase Majewski | Occupational Therapy | Jubilee Healthcare LLC | 13207 Ravenna Rd, Chardon, OH 44024-7032 |
| Alison T Tobias | Physician Assistant | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Holly M Holladay | Occupational Therapy | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Jonathan P Corrigan | Physician Assistant | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Street Address |
36711 AMERICAN WAY |
| City | AVON |
| State | OH |
| Zip | 44011-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher C Rupprecht | Physician Assistant | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Alison T Tobias | Physician Assistant | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Holly M Holladay | Occupational Therapy | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Jonathan P Corrigan | Physician Assistant | Jubilee Healthcare LLC | 36711 American Way, Suite A, Avon, OH 44011-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget C Wu | Certified Registered Nurse Anesthetist (crna) | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Jennifer P Montgomery | Diagnostic Radiology | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Mohammed Al-jaghbeer | Critical Care (intensivists) | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Eileen M Nelson | Nurse Practitioner | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Lisa M Wallace | Nurse Practitioner | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Wilma Fowler Bergfeld | Dermatology | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Abdul Rahman Wattar | Cardiovascular Disease (cardiology) | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| James E Lisi | Gastroenterology | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Stephen Joseph Ferenczy | Internal Medicine | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Michael A Bolen | Diagnostic Radiology | The Cleveland Clinic Foundation | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 |
| Find all physicians in zip 44011 | |||
| City | AVON |
| Zip Code | 44011 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | AVON + OPHTHALMOLOGY |
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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.