Deanne E Wilson-costello
MD | Pediatric Neonatal-Perinatal Medicine | Female
Deanne E Wilson-costello, MD is a Cleveland, Ohio based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Deanne E Wilson-costello is
11100 Euclid Ave, Cleveland, Ohio - 44106-1716. She can be contacted on phone at
216-844-7700 and fax number 216-286-6341.
Deanne E Wilson-costello is a sole proprietor of her business.
NPI number (Unique professional ID) for Deanne E Wilson-costello is
1316967284 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 12 Jun, 2009.
Deanne E Wilson-costello license number is
35-067001 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Ohio.
Deanne E Wilson-costello is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Deanne E Wilson-costello basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Deanne E Wilson-costello |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Deanne E Wilson-costello address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11100 Euclid Ave
Cleveland, OH, 44106-1716
United States |
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| Phone Number : | 216-844-7700 |
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| Fax Number : | 216-286-6341 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316967284 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 12 Jun, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deanne E Wilson-costello are as mentioned. Primary taxonomy code for Deanne E Wilson-costello, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207L00000X | Anesthesiology | No | 35-067001 | OH |
| 207LP3000X | Anesthesiology Pediatric Anesthesiology | No | 35-067001 | OH |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 35-067001 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Deanne E Wilson-costello such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0658025 | Other | OH | AETNA |
| 000000221190 | Other | OH | UINISON |
| 745987 | Other | OH | BUCKEYE |
| 0019347280001 | MEDICAID | PA | |
| 1019347280001 | Other | PA | PENNSLYVANIA MEDICAID |
| 0187444 | MEDICAID | OH | |
| 000000027353 | Other | OH | ANTHEM |
| 0187444 | Other | OH | BCMH |
| 364141 | Other | OH | WELLCARE |
| 000000526173 | Other | OH | ANTHEM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3605 Warrensville Center Rd
Shaker Hts, OH, 44122-5203
United States |
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| Phone Number : | 216-286-6299 |
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| Fax Number : | 216-286-6341 |
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Business Location:
Patients can refer following map for directions to
Deanne E Wilson-costello practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.