Doctor Name: | DR. JOHN J COSTA |
NPI Number: | 1043219041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35-06-9453 |
Business Practice Address: | 477 Cooper Rd Suite 200 Westerville, OH - 430818053 |
Business Phone Number: | 6144597676 |
Business Fax Number: | 6144597681 |
Mailing Address: | 477 Cooper Rd, Suite 200 WESTERVILLE |
State: | OH |
Postal Code: | 430818053 |
Phone Number: | 6144597676 |
Fax Number: | 6144597681 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 35-06-9453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |