Active NPI
John Milton Costello Jr., MD
- Cardiovascular Disease Physician
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD036851E
- Practice address
- 125 N Franklin Dr
Suite 1
Washington, PA 15301-5892 - Phone
- (724) 225-6500
- Fax
- (724) 229-2170
- NPI assigned
- Apr 13, 2006
- Last updated
- Jun 8, 2015
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD036851E | PA | Primary |
Addresses
Primary practice location
125 N Franklin Dr
Suite 1
Washington, PA 15301-5892
Mailing address
125 N Franklin Dr
Suite 1
Washington, PA 15301-5892
Phone (724) 225-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011237940001 | Medicaid | PA | |
| 0162212 | Other | BS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Physician Services | Cardiovascular Disease | Current | Accepting new patients |
| Frazier Hart Inc | Cardiovascular Disease | Past | Accepting new patients |
| North Hills Passavant Cardiology Associates PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
125 N Franklin Dr
Ste 1
Washington, PA 15301
Phone (724) 225-6500
155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
400 Locust Ave
Washington, PA 15301
Phone (724) 222-2577
Organizations & group practices 3
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.
-
dba Washington Health System Physicians Group
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Washington, PA
- NPI 1457391385
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1538234976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1881658185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N FRANKLIN DR",
"address_2": "SUITE 1",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153015892",
"telephone_number": "724-225-6500",
"fax_number": "724-225-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N FRANKLIN DR",
"address_2": "SUITE 1",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153015892",
"telephone_number": "724-225-6500",
"fax_number": "724-229-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JOHN",
"middle_name": "MILTON",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD036851E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011237940001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "0162212",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
- Cornerstone Care Inc
- Cornerstone Care Inc (Medical and Behavioral Health Center of Washington)
- Madeline S Corson-O'Donnell, CRNP
- Douglas Thomas Corwin Jr., M.D.
- Nicole Corwin, MT-BC
- Megan Jillian Costello, CRNP
- Bruce Michael Cotugno, M.D.
- County of Washington (Washington County Health Center)
- Darla Cowden, MPA-C
- Kaitlyn Marie Cowden, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.