DR. GREGORY RICHARD COSTANZO DPM NPI 1477516813

NPI Information

NPI: 1477516813
Provider Name: DR. GREGORY RICHARD COSTANZO, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 VANDERBILT PARK DR
SUITE 100
ASHEVILLE, NC
ZIP 28803
Phone: (828) 277-8042
Get Directions

DR. Gregory Richard Costanzo, DPM is a podiatrist in Asheville, NC. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Gregory Richard Costanzo, DPM NPI is 1477516813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 VANDERBILT PARK DR
SUITE 100
ASHEVILLE, NC
ZIP 28803-736
Phone: (828) 277-8042
Fax: (828) 277-8046

The NPI 1477516813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/11/2008.

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	213E00000X	Podiatrist		378	NORTH CAROLINA	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	890813M	MEDICAID	NORTH CAROLINA
2	2771043	OTHER	NORTH CAROLINA	UHC
3	2433017D	MEDICARE PIN	NORTH CAROLINA
4	T26068	MEDICARE UPIN
5	0813M	OTHER	NORTH CAROLINA	BCBS

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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