Gregory Richard Costanzo Sr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

378 Issued in NC

Practice address

1 Vanderbilt Park Dr
Suite 100
Asheville, NC 28803-1736

Phone

(828) 277-8042

Fax

(828) 277-8046

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1477516813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANDERBILT PARK DR",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031736",
            "telephone_number": "828-277-8042",
            "fax_number": "828-277-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VANDERBILT PARK DR",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031736",
            "telephone_number": "828-277-8042",
            "fax_number": "828-277-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "GREGORY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0813M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890813M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2771043",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Drennen Cosby, PT, DPT
• Ali Boyce Cosgrove, NP-C, CRNA
• Megan Leigh Cossart, APRN
• Julia Marietta Costa, LCSWA
• Catherine Sierra Costanzo, LCSWA
• Justin Alexander Costello, M.D.
• Cassie E Costilow, AUD
• Crystal Dawn Cothran, RT R
• Taitum Olivia Cothren, PHD
• Catherine Carmella Cotrupe, PA-C

• Podiatrist in Asheville, NC
• Providers in Asheville, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.