Active NPI
Donald Joseph Costic, M.D.
- Hospitalist Physician
- Morganton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.095554
- Practice address
- 350 E Parker Rd
Suite 102
Morganton, NC 28655-5155 - Phone
- (828) 580-2700
- Fax
- (828) 432-9833
- NPI assigned
- Jan 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.095554 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 35-095554 | OH |
Addresses
Primary practice location
350 E Parker Rd
Suite 102
Morganton, NC 28655-5155
Mailing address
PO Box 601076
Charlotte, NC 28260-1076
Phone (828) 580-6752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077147 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 N Ctr St
Hickory, NC 28601-5033
Phone (828) 879-8419
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-095554 | OH | MD | Internal Medicine Physician |
| 35.095554 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Hospitalists LLC | Hospitalist | Current | Accepting new patients |
Locations
420 N Center St
Hickory, NC 28601
Phone (704) 660-4055
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Hickory, NC
- NPI 1275128944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frye Regional Medical Center
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1275557654
Inpatient rehabilitation facility
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1689906737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601076",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601076",
"telephone_number": "828-580-6752",
"fax_number": "828-580-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E PARKER RD",
"address_2": "SUITE 102",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286555155",
"telephone_number": "828-580-2700",
"fax_number": "828-432-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTIC",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-30",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.095554",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-095554",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077147",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
- Cora'S Cottage 1 LLC
- Cora'S Cottage 2 LLC
- Cora'S House LLC
- Cordium Links, LLC
- Malcolm O Corley, MD
- Country Pines 1
- Country Pines Family Care Home (Country Pines II)
- County of Burke (Burke County Department of Social Services)
- County of Burke (Burke County Health Dept-Clinic Service)
- County of Burke (Burke County EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.