DR. RYAN COSTELLO (NPI# 1396107751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396107751 |
| Entity Type | Individual |
| Full Name | DR. RYAN COSTELLO |
| Credential | DO |
| Practice Address |
225 E Jackson Ave Jonesboro AR 72401-3119 |
| Practice Telephone | 8709724100 |
| Mailing Telephone | 8702074100 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E-11969 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| Street Address |
225 E JACKSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1528668241 | David Daniel Joel Hoffman II | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-10-30 |
| 1003425315 | Jesse Ash | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-07-23 |
| 1205457090 | Linda Gail Brown | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-05-03 |
| 1225689151 | Rocio Emy Roades | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-09-23 |
| 1992350730 | Leslie Britton | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-08-08 |
| 1538729116 | Leah Gathright | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-06-17 |
| 1831753243 | Katherine Ann Mcfarlin | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-05-01 |
| 1336602549 | Terrance Matthew Kane | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-13 |
| 1841753324 | Aldo Giovanni Estella | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1912431487 | Mitchell Hervert | Internal Medicine | 6066 Beaver Dam Ln, Jonesboro, AR 72404-9650 | 2017-04-12 |
| 1538472246 | Ernest White Abernathy Jr. | Internal Medicine | 9026 Snipe Lane, Jonesboro, GA 30236 | 2010-07-22 |
| 1104137652 | Jason R. Casey, M.d., P.a. | Internal Medicine | 901 Osler Dr, Suite B, Jonesboro, AR 72401-4390 | 2010-06-30 |
| 1063698249 | Jaydeep Suresh Bhat | Internal Medicine | 2470 Mt. Zion Pkwy, Gastroenterology, Jonesboro, GA 30236 | 2008-01-17 |
| 1215074067 | Lydia K Alexander | Internal Medicine | Family Practice Health Care Team A, 2400 Mount Zion Parkway, Jonesboro, GA 30236 | 2007-01-31 |
| 1518011915 | Kabir A Quadir | Internal Medicine | Department of Gastroenterology, 2470 Mount Zion Parkway, Jonesboro, GA 30236 | 2007-01-22 |
| 1316013311 | Rosemary L Muoneke | Internal Medicine | Department of Nephrology, 2400 Mount Zion Parkway, Jonesboro, GA 30236 | 2006-11-28 |
| 1093726333 | General Lee Cranfill IIi | Internal Medicine | 615 E Matthews, Ste C, Jonesboro, AR 72401 | 2006-08-11 |
| 1265463277 | Clayton Healthcare, P.C. | Internal Medicine | 3139 Bay View Dr, Jonesboro, GA 30236-4139 | 2006-07-06 |
| Find all providers in JONESBORO | ||||
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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.