VINCENT J COSTELLA PAC NPI 1336503036

NPI Information

NPI: 1336503036
Provider Name: VINCENT J COSTELLA, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: CAROLINA NEUROSURGERY AND SPINE ASSOCIATES PA

PECOS Registration: Yes

Address:
1130 N CHURCH ST STE 200
GREENSBORO, NC
ZIP 27401
Phone: (336) 272-4578
Get Directions

Vincent J Costella, PAC is a surgical physician assistant in Greensboro, NC with 8 years of experience. Vincent J Costella, PAC NPI is 1336503036. 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:

1130 N CHURCH ST STE 200
GREENSBORO, NC
ZIP 27401-041
Phone: (336) 272-4578
Fax: (362) 725-9313

The NPI 1336503036 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), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 12/22/2020.

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	363AS0400X	Physician Assistant	Surgical	0010-06358	NORTH CAROLINA	Yes
2	363A00000X	Physician Assistant		0010-06358	NORTH CAROLINA	No

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: 11/14/2023

NPI Synchronization or Removal

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