DR. KIMBERLY ANNE COSTELLO (NPI# 1356372817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356372817 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANNE COSTELLO |
| Credential | DO |
| Practice Address |
111 S Front St Harrisburg PA 17101-2010 |
| Mailing Address |
42 Auburn Dr Annville PA 17003-8601 |
| Practice Telephone | 7177823127 |
| Mailing Telephone | 7178389381 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
OT-006594-T | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143833 | Kimberly A. Costello | Physical Therapist | 3915 Bristol Hwy, Ste 301, Johnson City, TN 37601-1403 | 2005-06-13 |
| Street Address |
111 S FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17101-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104551 | Donald Carl Durbeck | Internal Medicine | 111 S Front St, Harrisburg, PA 17101-2010 | 2005-06-20 |
| 1609474469 | Alexandra Maria Bachinsky | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-10-14 |
| 1578179248 | Katelynn Margaret Maronic | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-09-18 |
| 1124638937 | Jennifer Lynn Kane | Nurse Practitioner | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-08-06 |
| 1265050744 | Tyler Burns | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-10 |
| 1841818796 | Olivia Catherine Gross | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-08 |
| 1023635646 | Sushila Lynn Kabadi | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-30 |
| 1831716695 | Amanda Marie Agrela Pires | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-28 |
| 1992320295 | Kimbery Dunn | Licensed Practical Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-11 |
| 1821613415 | Zachary Vasold | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169906 | Seth Lascurain | Genetic Counselor, MS | 100 S. Second St., Suite 4b, Harrisburg, PA 17101 | 2018-06-28 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1881922599 | Abha Yadav | Pediatrics | Lpaharr Pinnacle Health-harrisbrg, Harrisbrg, PA 17101 | 2009-11-19 |
| 1467665158 | Kara Lynn Foulds | Pharmacist | 100-103 Market St, Harrisburg, PA 17101 | 2007-05-08 |
| 1588767339 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 221 223 E Market, Harrisburg, PA 17101 | 2006-09-07 |
| 1902853070 | Structural Disorders of The Spine | Chiropractor | 21 North 4th Street, Harrisburg, PA 17101 | 2006-05-27 |
| 1467415364 | Ndlovu Women's Health | Specialist | 100 South Second St, Medical Sciences Bldg Suite 4a, Harrisburg, PA 17101 | 2006-04-11 |
| 1710976899 | Michael Muench | Obstetrics & Gynecology | 100 S 2nd St Ste 4b, Harrisburg, PA 17101 | 2005-10-20 |
| 1053312371 | Linda Brooks Uchal | Pharmacist | 111 S. Front St., Pinnacle Health System, Harrisburg, PA 17101 | 2005-08-09 |
| 1487659355 | Elizabeth S. Klinke | Pediatrics | Harrisburg Hospital, Pediatrics Dept-nicu, 111 S Front St., Harrisburg, PA 17101 | 2005-06-16 |
| Find all providers in zip 17101 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336130152 | David Shane Wolf | Pediatrics | 205 S Front St Ste 907, Harrisburg, PA 17104-1619 | 2005-11-01 |
| 1730286444 | Pediatrix Medical Group of Pennsylvania, P.C. | Pediatrics | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-17 |
| 1225093248 | Michelle Dawn David-hugues | Pediatrics | 111 S Front St, Nicu, 8th Floor, Harrisburg, PA 17101-2010 | 2006-04-20 |
| 1194789677 | Bernadine Moglia | Pediatrics | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
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| City | HARRISBURG |
| Zip Code | 17101 |
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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.