DR. WANDA COSTON M.D. NPI 1417281163

NPI Information

NPI: 1417281163
Provider Name: DR. WANDA COSTON, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: PUBLIC HEALTH MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
125 S 9TH ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 592-4500
Get Directions

DR. Wanda Coston, M.D. is a general practice in Philadelphia, PA with 20 years of experience. DR. Wanda Coston, M.D. NPI is 1417281163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

125 S 9TH ST
PHILADELPHIA, PA
ZIP 19107-125
Phone: (215) 592-4500

The NPI 1417281163 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 9/29/2009 and was last updated on 1/22/2021.

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	License Number	License State	Primary
1	207R00000X	Internal Medicine	MD441753	PENNSYLVANIA	No
2	208D00000X	General Practice	MD441753	PENNSYLVANIA	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program			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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »