BRIAN A COSTELLO (NPI# 1932179181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932179181 |
| Entity Type | Individual |
| Full Name | BRIAN A COSTELLO |
| Credential | M.D. |
| Practice Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072842511 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME118049 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
40903 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
40903 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 322241865 | 9049532000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962829416 | Brian Michael Costello | Counselor | 5182 East Pkwy, Hamburg, NY 14075-5748 | 2014-03-22 |
| 1477982064 | Brian Costello | Durable Medical Equipment & Medical Supplies | 4916 N Crescent Ave, Norridge, IL 60706-3108 | 2013-11-05 |
| 1437352911 | Brian Joseph Costello | Internal Medicine | 3080 Hamilton Blvd, Suite 350, Allentown, PA 18103-3694 | 2007-06-11 |
| 1821144163 | Brian Eoin Costello | Pediatrics | 1645 Tullie Cir Ne, Division of Pediatric Emergency Medicine, Atlanta, GA 30329-2304 | 2007-01-27 |
| 1396833257 | Brian John Costello | Physician Assistant | 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 | 2006-10-10 |
| 1154306454 | Brian L. Costello | Physician Assistant | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2005-12-08 |
| Street Address |
200 1ST ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031875 | Christine Maria Miller | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-05-27 |
| 1184225898 | Ellen Renne Larkin | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-08 |
| 1972104180 | Malinda Marie Wilcox | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1720689920 | Tammy Lynn Perttula | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1619578721 | Aaron Anderson | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1093316598 | Rebecca Lea Parttridge | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1710588173 | Eduardo Gabriel Danduch | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1962002030 | Taylor Jeanne Jamison | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1619577640 | Hayden Taylor Middleton | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1295335461 | Vivek Sureshchandran Tharayil | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
| Find all providers in zip 55905 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110259 | Michael John O'connell | Internal Medicine | 812 Paxton Rd Sw, Rochester, MN 55902-6643 | 2005-08-10 |
| 1700298064 | Nabeel Jabbar Badri | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-2709 | 2014-05-21 |
| 1427495357 | Ciara Catherine O'sullivan | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-06-01 |
| 1811330079 | Nguyen H Tran | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2013-04-08 |
| 1932475837 | Wenjia Wang | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2012-03-26 |
| 1285911586 | Highland Hospital of Rochester | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2011-11-15 |
| 1265729834 | Anastasios Dimou | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2011-07-05 |
| 1386886364 | Nayana R Kamath | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2009-04-06 |
| 1942454152 | Stephen Frytak | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-11-14 |
| 1013191733 | Erika E. Ramsdale | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2007-12-18 |
| Find all providers in ROCHESTER | ||||
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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.