Active NPI
Edward F Cosentino, DPM
- Podiatrist
- Girard, OH
National Provider Identifier
1396716593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2089
- Practice address
- 603 N State St
Girard, OH 44420 - Phone
- (330) 545-4993
- Fax
- (330) 545-5200
- NPI assigned
- Jan 27, 2006
- Last updated
- Apr 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2089 | OH | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 2089 | OH |
Addresses
Primary practice location
603 N State St
Girard, OH 44420
Mailing address
603 N State St
Girard, OH 44420
Phone (330) 545-4993
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000025936 | Other | OH | BLUE CROSS BLUE SHIELD |
| 0576005 | Medicaid | OH | |
| 480010608 | Other | OH | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2089 | OH | MD | Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Girard, OH
- NPI 1992841837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1396716593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N STATE ST",
"city": "GIRARD",
"state": "OH",
"postal_code": "44420",
"telephone_number": "330-545-4993",
"fax_number": "330-545-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N STATE ST",
"city": "GIRARD",
"state": "OH",
"postal_code": "44420",
"telephone_number": "330-545-4993",
"fax_number": "330-545-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENTINO",
"first_name": "EDWARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "2089",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "OH",
"license": "2089",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000025936",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0576005",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "480010608",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Girard, OH
- Danielle Clark, COTA/L
- Anita Jewel Cole
- Compassus BSMH Youngstown HHA LLC (Mercy Health Home Care by Compassus)
- Compassus BSMH Youngstown Hospice LLC (Mercy Health Hospice of the Valley by Compassus)
- Jennie Copes
- Emily G Cosma, CLS
- Autumn Leann Currence
- Michelle Daly
- David and John Delliqoadri, D.O. Inc
- David Angelo Delliquadri DO, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.