Justin Ellis Costello (NPI# 1215235916, PAC ID# 5799054326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215235916 |
| PAC ID by PECOS | 5799054326 |
| Professional Enrollment ID | I20170914002374 |
| Full Name | Justin Ellis Costello |
| Organization Legal Name | ARGUS RADIOLOGY CONSULTANTS LLC |
| Address |
1310 Old Hwy 63 S Suite 206 Columbia MO 65201-6078 |
| Phone Number | 5738264077 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0749451276 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| 170203 | PREMIER SURGICAL INSTITUTE |
| 451310 | BALLINGER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 608 Ave B, Ballinger, TX 76821-2406 | 3253652531 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 1310 Old Hwy 63 S, Suite 206, Columbia, MO 65201-6078 | 5738264077 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 1619 W 7th St, Premier Surgical Institute, Galena, KS 66739-1269 | 6207831732 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 195 E Girard Ave, Salt Lake City, UT 84103-2151 | 8774427487 | ARGUS RADIOLOGY CONSULTANTS LLC |
| 30 N, Suite 444, Salt Lake City, UT 84132-0002 | 8015850777 | UNIVERSITY OF UTAH ADULT SERVICES |
| Organization Legal Name | ARGUS RADIOLOGY CONSULTANTS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey E O Connell | Diagnostic Radiology | Argus Radiology Consultants LLC | 2840 Reynolds Dr, Winston Salem, NC 27104-1904 |
| Dion Depaolis | Diagnostic Radiology | Argus Radiology Consultants LLC | 1310 Old Hwy 63 S, Suite 206, Columbia, MO 65201-6078 |
| Boyd Bennett Gasque Jr. | Diagnostic Radiology | Argus Radiology Consultants LLC | 2840 Reynolds Dr, Winston Salem, NC 27104-1904 |
| Street Address |
1310 OLD HWY 63 S SUITE 206 |
| City | COLUMBIA |
| State | MO |
| Zip | 65201-6078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dion Depaolis | Diagnostic Radiology | Argus Radiology Consultants LLC | 1310 Old Hwy 63 S, Suite 206, Columbia, MO 65201-6078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald H Heisler | Clinical Psychologist | 1316 S Old Hwy 63, Columbia, MO 65201 | |
| Amanda J Fischer | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erica H Salinas | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jennifer Lynn Sanford | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jane A Vaughan | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Ashley Marie Hardesty | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| John G Adams Jr. | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Kimberly C Suppes | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erik M Grossmann | Colorectal Surgery (proctology) | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jeffrey Roland Nolting | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 3105 Bluff Creek Dr, Columbia, MO 65201-3529 |
| Find all physicians in zip 65201 | |||
| City | COLUMBIA |
| Zip Code | 65201 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | COLUMBIA + DIAGNOSTIC RADIOLOGY |
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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.