John Costello
MD | Pediatric Critical Care Medicine | Male
John Costello, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of John Costello is
171 Ashley Ave, Charleston, South Carolina - 29425. He can be contacted on phone at
843-792-1414.
John Costello is a sole proprietor of his business.
NPI number (Unique professional ID) for John Costello is
1053302992 which was assigned by NPPES on 31 Oct, 2005 and it was last updated on 18 Feb, 2022.
John Costello license number is
52686 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Carolina.
John Costello is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
John Costello basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | John Costello |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John 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 : | 171 Ashley Ave
Charleston, SC, 29425
United States |
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| Phone Number : | 843-792-1414 |
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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 : | 1053302992 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Oct, 2005 |
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| Last Updated On : | 18 Feb, 2022 |
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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 John Costello are as mentioned. Primary taxonomy code for John Costello, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 217260 | MA |
| 2080P0202X | Pediatrics Pediatric Cardiology | No | 52686 | SC |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 52686 | SC |
Legacy Identifiers:
Other legacy medical identifiers of John Costello such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| TUFTS HEALTH PLAN | Other | MA | 217260 |
| 2014416 | MEDICAID | MA | |
| 25-01706 | Other | MA | UNITED HEALTHCARE MA |
| 26528 | Other | MA | BMC HEALTHNET |
| AA9211 | Other | MA | HARVARD PILGRIM |
| JC51504 | MEDICAID | RI | |
| J26530 | Other | MA | BLUE CARE ELECT |
| 32292 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 3253447 | Other | MA | AETNA MA |
| J26530 | Other | MA | HMO BLUE |
| 97288001 | Other | MA | NETWORK HEALTH |
| J26530 | Other | MA | BCBS MA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | direct@direct.musc.edu
| No affiliation | DIRECT
Direct
|
| 171 ASHLEY AVE,
CHARLESTON, SC, 29425
United States |
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 : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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| Fax Number : | 603-893-8886 |
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Business Location:
Patients can refer following map for directions to
John 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.