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John Costello, MD
Pediatric Critical Care Medicine Physician in Charleston, South Carolina
NPI 1053302992

John Costello is a Pediatric Critical Care Medicine Physician based in Charlotte, SC and is specialized in Pediatric Critical Care Medicine. John Costello practices in Charleston, SC and has the professional credentials of MD. The NPI Number for John Costello is 1053302992 and holds a License No. 217260 (South Carolina).

The current practice location address for John Costello is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414.

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053302992
Provider Name
John Costello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2014416 05 MA
97288001 01 MA NETWORK HEALTH
TUFTS HEALTH PLAN 01 MA 217260
JC51504 05 RI
25-01706 01 MA UNITED HEALTHCARE MA
J26530 01 MA HMO BLUE
3253447 01 MA AETNA MA
26528 01 MA BMC HEALTHNET
32292 01 MA NEIGHBORHOOD HEALTH PLAN
AA9211 01 MA HARVARD PILGRIM
J26530 01 MA BCBS MA
J26530 01 MA BLUE CARE ELECT
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
52686 (South Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
52686 (South Carolina)
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
217260 (Massachusetts)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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