ALFRED THOMAS COSTELLO (NPI# 1174188437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174188437 |
| Entity Type | Individual |
| Full Name | ALFRED THOMAS COSTELLO |
| Practice Address |
21925 Greater Mack Ave Saint Clair Shores MI 48080-2420 |
| Mailing Address |
22777 Kelly Rd Eastpointe MI 48021-2036 |
| Practice Telephone | 5867765277 |
| Mailing Telephone | 5867733300 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3501004781 | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI | 1891845335 | 01 |
| Street Address |
21925 GREATER MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255886305 | Patricia Roach | Hearing Instrument Specialist | 22631 Greater Mack Ave, Ste 100, Saint Clair Shores, MI 48080-2055 | 2016-08-18 |
| 1891188959 | Anthony Joseph Guido | Hearing Instrument Specialist | 30128 Harper Ave, Suite 1, Saint Clair Shores, MI 48082-1662 | 2015-03-13 |
| 1245588771 | Karen L Demchyna | Hearing Instrument Specialist | 25915 Harper Ave, Ste D & E, Saint Clair Shores, MI 48081-3770 | 2012-08-15 |
| 1689860140 | Angela S Miles | Hearing Instrument Specialist | 30045 Harper Ave, Suite B, Saint Clair Shores, MI 48082-1649 | 2007-09-19 |
| 1588878672 | New Ear Hearing | Hearing Instrument Specialist | 31503 Harper Ave, Saint Clair Shores, MI 48082-2455 | 2007-05-09 |
| 1932324415 | Mari Lynn Sysak | Hearing Instrument Specialist | 31503 Harper Ave, Saint Clair Shores, MI 48082-2455 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251641 | Erika L Bunkley | Hearing Instrument Specialist | 18451 W 12 Mile Rd Ste 201, Lathrup Village, MI 48076-2635 | 2020-10-01 |
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1790312965 | Brook Mantei | Hearing Instrument Specialist | 4480 Bay Rd Ste 3, Saginaw, MI 48603-5220 | 2020-03-26 |
| 1104453018 | Donald Murphy | Hearing Instrument Specialist | 4165 24th Ave Ste C, Fort Gratiot, MI 48059-3854 | 2020-03-23 |
| 1841826898 | Greg J Weidman | Hearing Instrument Specialist | 596 N Port Crescent St, Bad Axe, MI 48413-1209 | 2020-03-20 |
| 1841826047 | Justin Michael Hess | Hearing Instrument Specialist | 6841 Eastman Ave, Midland, MI 48642-7897 | 2020-03-19 |
| 1356976732 | Jeralyn Patrice Garvey | Hearing Instrument Specialist | 7200 W Saginaw Hwy Ste 3, Lansing, MI 48917-1133 | 2020-03-06 |
| 1609411339 | John Duane Frantz | Hearing Instrument Specialist | 5475 Beckley Rd Ste 150, Battle Creek, MI 49015-4277 | 2019-11-18 |
| 1417592551 | Jane Ellen White | Hearing Instrument Specialist | 4635 14 Mile Rd Ne Ste A, Rockford, MI 49341-7310 | 2019-11-13 |
| 1497399166 | Lauren Ashley Reynolds | Hearing Instrument Specialist | 38 44th St Sw, Grandville, MI 49418-2177 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on ALFRED THOMAS COSTELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.