JAMES ROBERT COSTELLO


Address: 770 Pine St, Suite 290, Macon, GA 31201-2173
Phone: 4787431458

JAMES ROBERT COSTELLO (NPI# 1215115233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215115233
Entity Type Individual
Full Name JAMES ROBERT COSTELLO
Credential MD
Practice Address 770 Pine St
Suite 290
Macon
GA 31201-2173
Practice Telephone 4787431458
Practice Fax Number 4787551332
Mailing Telephone 4787431458
Mailing Fax Number 4787551332
Enumeration Date 2008-01-31
Last Update Date 2017-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
001415 GA Allopathic & Osteopathic Physicians

Other Providers JAMES COSTELLO

NPI Name Taxonomy Address Enumeration
1881021723 James Costello Durable Medical Equipment & Medical Supplies 110 Adams St, Saratoga Springs, NY 12866-5002 2013-10-10
1457600041 James Paul Costello Dentist 862 Shellbark Way, The Villages, FL 32162-4075 2012-08-29
1811190515 James Costello Chiropractor 4615 I- 45 North Freeway Ste#208, Houston, TX 77022 2007-06-08
1144733981 James Jay Costello Counselor 1 Kellogg Cir, Emporia, KS 66801-5415 2017-11-15
1033649959 James Costello Student in an Organized Health Care Education/Training Program 18 E Laurel Road, Stratford, NJ 08084 2017-06-13
1851711717 James Michael Costello Registered Nurse 830 Chalkstone Ave, Providence, RI 02908-4734 2014-04-18
1740386887 James Patrick Costello Optometrist 3217 Lake Ave, Wilmette, IL 60091-1080 2006-09-16
1760498901 James W. Costello Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2006-07-31
1801883236 James Costello Pediatrics 4120 Prescott Rd, Modesto, CA 95356-8418 2005-09-30

Office Location

Street Address 770 PINE ST
SUITE 290
City MACON
State GA
Zip Code 31201-2173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720080443 Stephen Ashley Noller Internal Medicine 770 Pine St, Suite 480, Macon, GA 31201-2173 2005-08-12
1821440819 Southern Lung Specialists PC Internal Medicine 770 Pine St, Suite 560, Macon, GA 31201-7569 2016-07-01
1780009092 Kimberley G Craddock Occupational Therapist 770 Pine St, Macon, GA 31201-2173 2014-02-24
1366796930 Village Podiatry Group, LLC Podiatrist 770 Pine St, Ste 300, Macon, GA 31201-2173 2012-11-05
1275888661 Hannah R Beauchamp Nurse Practitioner 770 Pine St, Ste 520, Macon, GA 31201-2173 2012-07-21
1427324615 Sushmita Nair Pediatrics 770 Pine St, Ste 520, Macon, GA 31201-2173 2012-04-01
1235423047 Burton D Goodwin Jr. Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2011-06-09
1831495696 Annie Lee Williams Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2011-01-26
1629371638 Cardiovascular Associates of Macon, PC Specialist 770 Pine St, Suite 480, Macon, GA 31201-2173 2010-12-13
1932429024 Dr Brown N Ekeledo LLC Surgery 770 Pine St, Suite 550, Macon, GA 31201-2173 2010-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
Find all providers in zip 31201

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134101199 Mark Edward Barrow Radiology 770 Pine Street, Suite 290, Macon, GA 31201-7516 2005-11-16
1114908522 Central Georgia Mri LLC Radiology 770 Pine St Ste L15, Attn: Radiology Department, Macon, GA 31201-7519 2005-11-11
1609857317 Northwest Diagnostic Imaging, Inc Radiology 2140 Riverside Dr, Macon, GA 31204-1747 2005-11-09
1437149762 Central Georgia Pet LLC Radiology 1650 Hardeman Ave, Attn: Radiology Department, Macon, GA 31201-1418 2005-10-27
1326043688 Arthur Hamilton Mccain Radiology 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 2005-06-14
1235423047 Burton D Goodwin Jr. Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2011-06-09
1831495696 Annie Lee Williams Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2011-01-26
1982922365 Joshua Benjamin Cooper Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2010-05-11
1609009760 Open Mri of Georgia, Inc Radiology 2140 Riverside Dr, Macon, GA 31204-1747 2009-08-24
1194984583 Alan D Kirsh Radiology 770 Pine St, Suite 290, Macon, GA 31201-2173 2008-06-02
Find all providers in MACON

Competitor

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City MACON
Zip Code 31201

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Dataset Information

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.

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