Michael John Costello in Modesto - Emergency Medicine
Michael John Costello - NPI 1477544781
Michael John Costello is a Emergency Medicine in Modesto, California. Michael John Costello practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Michael John Costello is 1477544781. The last update date is 2007-07-08.
Michael John Costello's current location address is 4301 North Star Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Michael John Costello is 4301 North Star Way, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Costello |
|---|---|
| Address | 4301 North Star Way, Modesto, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477544781 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4301 North Star Way |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 95356 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | G81580 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G815801 | CA | BLUE SHIELD | |
| 00G815800 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael John Costello by the Centers for Medicare & Medicaid Services?
The Michael John Costello has been issued the NPI (National Provider Identifier) 1477544781, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael John Costello?
The Michael John Costello is situated at 4301 North Star Way, in the city of Modesto, state of CA, with the zip code 95356.
What is the area of specialization for Michael John Costello, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael John Costello is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
On what date did Michael John Costello receive its 1477544781 assignment from the Centers for Medicare & Medicaid Services?
The Michael John Costello was assigned its 1477544781 on 2005-11-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael John Costello most recently updated or revised?
The details related to Michael John Costello, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.