MAPLE MEDICAL SERVICES P.C. NPI 1871589861

NPI Information

NPI: 1871589861
Provider Name: MAPLE MEDICAL SERVICES, P.C.

Former Legal Business Name: THEODORE G. COSTICH, MD

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
41 MAPLE RD
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 631-1045
Get Directions

MAPLE MEDICAL SERVICES, P.C. is an obstetrics gynecology in Williamsville, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MAPLE MEDICAL SERVICES, P.C. NPI is 1871589861. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Theodore G. Costich, Md.

The provider's business location address is:

41 MAPLE RD
WILLIAMSVILLE, NY
ZIP 14221-918
Phone: (716) 631-1045
Fax: (716) 631-1365

The provider's authorized official is Theodore Gerard Costich .
The authorized official title is Owner and has the following contact phone number (716) 631-1045.

The enumeration date for this NPI number is 9/25/2005 and was last updated on 8/22/2020.

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	207V00000X	Obstetrics & Gynecology		187420	NEW YORK	Yes
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	187420	NEW YORK	X

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	01406720	MEDICAID	NEW YORK
2	0709667	OTHER	NEW YORK	IHA PROVIDER #
3	00020006503	OTHER	NEW YORK	UNIVERA ID #

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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