Active NPI
Raymond F Kostin, MD
- Surgery Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD031429L
- Practice address
- 205 S Front St
4TH FL, Bma
Harrisburg, PA 17104-1619 - Phone
- (717) 231-8555
- Fax
- (717) 231-8568
- NPI assigned
- Apr 3, 2006
- Last updated
- Dec 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD031429L | PA | Primary |
Addresses
Primary practice location
205 S Front St
4TH FL, Bma
Harrisburg, PA 17104-1619
Mailing address
409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000593965 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD031429L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Surgery | Current | Accepting new patients |
| Pinnacle Health Cardiovascular Institute Inc | Surgery | Current | Accepting new patients |
Locations
360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557
205 S Front St
Fl 4
Harrisburg, PA 17104
Phone (717) 231-8555
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360
2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1952603342
Surgery
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Children's Specialists-Pediatric Surgery
- Pediatric Surgery Physician
- Lemoyne, PA
- NPI 1770535551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1760444087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S FRONT ST",
"address_2": "4TH FL, BMA",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041619",
"telephone_number": "717-231-8555",
"fax_number": "717-231-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTIN",
"first_name": "RAYMOND",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD031429L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000593965",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.