QUEENIE MOUSUMI D'COSTA


Address: 3705 5th Ave, Pittsburgh, PA 15213-2584
Phone: 4126925164

QUEENIE MOUSUMI D'COSTA (NPI# 1588877435) 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) 1588877435
Entity Type Individual
Full Name QUEENIE MOUSUMI D'COSTA
Credential MD
Practice Address 3705 5th Ave
Pittsburgh
PA 15213-2584
Mailing Address 200 Lothrop St
Forbes Tower Suite 9055
Pittsburgh
PA 15213-2536
Practice Telephone 4126925164
Practice Fax Number 4126926076
Mailing Telephone 4126473087
Mailing Fax Number 4126474486
Enumeration Date 2007-05-08
Last Update Date 2013-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
ME102726 FL Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD424352 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 000383900 05

Office Location

Street Address 3705 5TH AVE
City PITTSBURGH
State PA
Zip Code 15213-2584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225022544 Erin R Listwak Pharmacist 3705 5th Ave, Pharmacy Department, Pittsburgh, PA 15213-2524 2005-09-01
1982014148 Aurora Shehu Wingrove Dermatology 3705 5th Ave, Pittsburgh, PA 15213-2584 2014-04-28
1093944613 James Mezger Radiology 3705 5th Ave, Chp Mt, Suite 3950, Pittsburgh, PA 15213-2584 2009-07-02
1497982979 Bilal Sitwat Psychiatry & Neurology 3705 5th Ave, Pittsburgh, PA 15213-2584 2009-06-11
1962636894 Karen Jean Jentgens Nurse Practitioner 3705 5th Ave, Pittsburgh, PA 15213-2584 2009-05-06
1326272329 Alison Galdys Internal Medicine 3705 5th Ave, Falk Building Suite 3a, Pittsburgh, PA 15213-2584 2009-05-06
1821232414 Amanda Willingham Pediatrics 3705 5th Ave, Pittsburgh, PA 15213-2584 2009-04-27
1568606465 Shirish Dave Surgery 3705 5th Ave, Pittsburgh, PA 15213-2584 2009-04-23
1306080429 Laura H Simon Internal Medicine 3705 5th Ave, Pittsburgh, PA 15213-2584 2009-04-21
1194968487 Myra K Feldman Specialist 3705 5th Ave, Chpmt 3950, Pittsburgh, PA 15213-2584 2009-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093312951 Bozena Agnieszka Brooks Larsen Nurse Anesthetist, Certified Registered Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 2020-10-05
1255942272 Jessica Ann Joy Nurse Practitioner 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 2020-08-13
1487264750 Cornelius Norval Holmes Counselor Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 2020-08-03
1396354338 Brittany Briana Bromfield Student in an Organized Health Care Education/Training Program 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 2020-07-27
1003434309 Dominika Dulak Student in an Organized Health Care Education/Training Program 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 2020-07-13
1477176303 Clark Stallings Student in an Organized Health Care Education/Training Program 240 University Drive C, Pittsburgh, PA 15213 2020-05-27
1063034007 Yue Qiu Student in an Organized Health Care Education/Training Program 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 2020-05-13
1598387516 Bushra Usmani Student in an Organized Health Care Education/Training Program 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 2020-05-13
1306468335 Krupa Patel Student in an Organized Health Care Education/Training Program 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 2020-05-13
1548882798 Stephen Henry Bayer Student in an Organized Health Care Education/Training Program 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 2020-05-11
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922653757 Haley Coleman Pediatrics 4401 Penn Ave, Pittsburgh, PA 15224-1334 2019-08-08
1164849808 Yong Sing Da Silva Pediatrics 4401 Penn Ave Fl 2, Critical Care Medicine, Faculty Pavilion, Pittsburgh, PA 15224-1334 2014-03-19
1679837389 Matthew John Bochkoris Pediatrics 4401 Penn Ave, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224-1334 2012-06-27
1457672941 Kelly Bailey Pediatrics 4401 Penn Ave, Peds Oncology, Childrens Hospital of Pittsburgh, Pittsburgh, PA 15224-1334 2010-06-18
1639493646 Christopher Michael Horvat Pediatrics 4401 Penn Ave, Pittsburgh, PA 15224-1334 2010-03-19
1952561086 Rosanne Salonia Pediatrics 3705 5th Ave, Dept of Pediatric Critical Care Medicine- 6th Floor, Pittsburgh, PA 15213-2584 2008-06-12
1396905774 Craig Martin Smith Pediatrics 3705 5th Ave, Pittsburgh, PA 15213-2584 2008-06-10
1598922387 Ajit A Sarnaik Pediatrics 3705 5th Ave, Pittsburgh, PA 15213-2584 2008-05-20
1568641157 Alicia K Au Pediatrics 3705 5th Ave, Suite 6840, Pittsburgh, PA 15213-2584 2007-10-30
1215140678 Patrick M Kochanek Pediatrics 3434 5th Ave, Safar Center, University of Pittsburgh, Pittsburgh, PA 15213-3205 2007-05-08
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Competitor

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City PITTSBURGH
Zip Code 15213

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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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