Anthony Joseph Costa, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

1561808 Issued in FL

Practice address

4209 State Route 44
Neoucom
Rootstown, OH 44272

Phone

(330) 325-6767

Fax

(330) 325-5903

NPI assigned

Oct 24, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093899254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 PIMLICO BLVD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-686-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 STATE ROUTE 44",
            "address_2": "NEOUCOM",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "44272",
            "telephone_number": "330-325-6767",
            "fax_number": "330-325-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35039375",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "1561808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simran Chandawarkar
• Lydia Corinne Chlpka
• Katie Chong, BA
• Robert Michael Christian II, LSW, LCDC III
• Adam Ciganik, PEER SUPPORTER
• Henyah Walid Dardir
• Sanjana Datla
• Romanie Louise Davis
• Brigid Carey Devine
• Sara Elaine Dugan, PHARM.D., BCPP

• Geriatric Medicine (Family Medicine) Physician in Rootstown, OH
• Providers in Rootstown, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.