DR. TIMOTHY D COSTELLO (NPI# 1235195785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235195785 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY D COSTELLO |
| Credential | MD |
| Practice Address |
620 North Main Harrison AR 72601-2926 |
| Mailing Address |
2080 Child St Jacksonville FL 32214-5005 |
| Practice Telephone | 8703652000 |
| Mailing Telephone | 9045423500 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E-7237 | AR | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101236812 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 190603001 | 05 | |
| AR BLUE CROSS | 51228 | 01 |
| Street Address |
620 NORTH MAIN |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801874698 | Todd F Baker | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-01-03 |
| 1194095448 | Jesse A Larbey | Physician Assistant | 620 North Main, Harrison, AR 72601-2911 | 2012-01-04 |
| 1962693218 | Luana D Booth | Nurse Anesthetist, Certified Registered | 620 North Main, Harrison, AR 72601-2911 | 2007-08-01 |
| 1417161795 | Eli Nathanael Denney | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2007-05-09 |
| 1205970365 | Larry Dean Johnson | Physician Assistant | 620 North Main, Harrison, AR 72601-2911 | 2007-02-20 |
| 1063585966 | Joseph Lee Thomas | Nurse Practitioner | 620 North Main, Harrison, AR 72601-2926 | 2006-11-16 |
| 1376623744 | Catherine J Langston | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-10-17 |
| 1700820602 | Raymond Kent Griffith | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-06-15 |
| 1265474472 | Jacob Aaron Roberts | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-06-12 |
| 1295791556 | Craig B Olson | Radiology | 620 North Main, Harrison, AR 72601-2911 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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 physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083857601 | Marney Ellen Gruber | Emergency Medicine | 237 Union Ave, Harrison, NY 10528-1711 | 2009-04-13 |
| 1508990730 | Chadwick Leon Simpson | Emergency Medicine | 511 Owl St, Harrison, AR 72601-1850 | 2007-03-16 |
| 1992898142 | Nes Arkansas, Inc. | Emergency Medicine | 620 North Willow Street, Harrison, AR 72601-2994 | 2006-10-02 |
| 1801874698 | Todd F Baker | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-01-03 |
| 1992048037 | Bryan Scott Shearer | Emergency Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2013-03-27 |
| 1144592742 | Mercy Emergency Physicians Inc | Emergency Medicine | 10450 New Haven Rd, Harrison, OH 45030-2780 | 2012-01-30 |
| 1053587030 | North Arkansas Regional Medical Center | Emergency Medicine | 620 N Main St, Narmc Er, Harrison, AR 72601-2911 | 2008-04-30 |
| 1417161795 | Eli Nathanael Denney | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2007-05-09 |
| 1376623744 | Catherine J Langston | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-10-17 |
| 1508978248 | Hospital Manipulative Service Pa | Emergency Medicine | 47 Pleasant Vw, Harrison, ME 04040-4039 | 2006-08-31 |
| Find all providers in HARRISON | ||||
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| 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.