Michael Joseph Costa (NPI# 1619080611, PAC ID# 9830388503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619080611 |
| PAC ID by PECOS | 9830388503 |
| Professional Enrollment ID | I20110111000635 |
| Full Name | Michael Joseph Costa |
| Organization Legal Name | 24/7 TLC |
| Address |
11131 Journal Pkwy King George VA 22485-3468 |
| Phone Number | 5406252148 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6709017213 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 11131 Journal Pkwy, King George, VA 22485-3468 | 5406252148 | 24/7 TLC |
| Organization Legal Name | 24/7 TLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto R Canizares | General Practice | 24/7 Tlc | 700 Mckinney Blvd, Suite 1100, Colonia Beach, VA 22485 |
| Street Address |
11131 JOURNAL PKWY |
| City | KING GEORGE |
| State | VA |
| Zip | 22485-3468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Piwowarski | Physician Assistant | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Lisa Petty | Nurse Practitioner | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Eleanor Donohue Redmond | Nurse Practitioner | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto R Canizares | General Practice | 24/7 Tlc | 700 Mckinney Blvd, Suite 1100, Colonia Beach, VA 22485 |
| Annie C Cardwell | Physical Therapy | Changing Paces PC | 12330 Millbank Rd, King George, VA 22485-2317 |
| Judith C Morris | Chiropractic | 5215 Kings Wood Ln, King George, VA 22485-2485 | |
| Adnan Zawawi | Psychiatry | Rappahannock Area Community Services Board | 8479 Saint Anthonys Rd, King George, VA 22485-3408 |
| Shawn Desmond Pallotti | Chiropractic | 9305 Kings Hwy A, King George, VA 22485-3423 | |
| Inez Weekes | Podiatry | 10254 Kings Hwy, King George, VA 22485-3429 | |
| Emily Kristen Taylor | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Eileen J.r. Graham | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Ann Marie A Fortin | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Celestina D Amlalo | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Find all physicians in zip 22485 | |||
| City | KING GEORGE |
| Zip Code | 22485 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KING GEORGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Joseph Costa.
| 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.