DEANNE E WILSON-COSTELLO MD NPI 1316967284

NPI Information

NPI: 1316967284
Provider Name: DEANNE E WILSON-COSTELLO, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Get Directions

Deanne E Wilson-costello, MD is a neonatal-perinatal medicine pediatrics in Cleveland, OH. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Deanne E Wilson-costello, MD NPI is 1316967284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-7700
Fax: (216) 286-6341

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		35-067001	OHIO	No
2	207LP3000X	Anesthesiology	Pediatric Anesthesiology	35-067001	OHIO	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	35-067001	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0658025	OTHER	OHIO	AETNA
2	000000221190	OTHER	OHIO	UINISON
3	745987	OTHER	OHIO	BUCKEYE
4	0019347280001	MEDICAID	PENNSYLVANIA
5	1019347280001	OTHER	PENNSYLVANIA	PENNSLYVANIA MEDICAID
6	0187444	MEDICAID	OHIO
7	000000027353	OTHER	OHIO	ANTHEM
8	0187444	OTHER	OHIO	BCMH
9	364141	OTHER	OHIO	WELLCARE
10	000000526173	OTHER	OHIO	ANTHEM
11	G18068	MEDICARE UPIN	OHIO
12	WI0792792	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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